| Neurology Associates Of Metroplex, P.a. | |
|
1600 W College St Suite Ll40 Grapevine TX 76051-3580 | |
| (817) 865-6281 | |
| (817) 865-6287 |
| Full Name | Neurology Associates Of Metroplex, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1600 W College St, Grapevine, Texas |
| Authorized Official Name and Position | Madhuri L Koganti (PRESIDENT) |
| Authorized Official Contact | 8178656281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates Of Metroplex, P.a. 1600 W College St Suite Ll40 Grapevine TX 76051-3580 Ph: (817) 865-6281 | Neurology Associates Of Metroplex, P.a. 1600 W College St Suite Ll40 Grapevine TX 76051-3580 Ph: (817) 865-6281 |
| NPI Number | 1417383233 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 09/25/2013 |
| Medicare PECOS PAC ID | 3678701729 |
|---|---|
| Medicare Enrollment ID | O20140116001518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417383233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Madhuri Koganti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467557124 PECOS PAC ID: 5698774792 Enrollment ID: I20120124000922 |
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