| Neurology Care Pllc | |
|
115 Park Place Blvd Ste 100 Waxahachie TX 75165-9210 | |
| (469) 466-6524 | |
| Not Available |
| Full Name | Neurology Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 115 Park Place Blvd Ste 100, Waxahachie, Texas |
| Authorized Official Name and Position | Shahram Khalid (OWNER) |
| Authorized Official Contact | 2149579792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Care Pllc 115 Park Place Blvd Ste 100 Waxahachie TX 75165-9210 Ph: (469) 466-6524 | Neurology Care Pllc 115 Park Place Blvd Ste 100 Waxahachie TX 75165-9210 Ph: (469) 466-6524 |
| NPI Number | 1205360146 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Medicare PECOS PAC ID | 0244517084 |
|---|---|
| Medicare Enrollment ID | O20170504001947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205360146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | Q0290 (Texas) | Primary |
| Provider Name | Madhavi Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558337238 PECOS PAC ID: 3476503913 Enrollment ID: I20050124000259 |
| Provider Name | Melissa J Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881896934 PECOS PAC ID: 8022056803 Enrollment ID: I20090617000471 |
| Provider Name | Shahram Khalid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922337476 PECOS PAC ID: 9335379593 Enrollment ID: I20140728002141 |
| Provider Name | Charles Philip Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376786848 PECOS PAC ID: 6901036706 Enrollment ID: I20150929001563 |
| Provider Name | Sereta Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215448428 PECOS PAC ID: 4688936347 Enrollment ID: I20180319000640 |
| Provider Name | Farid Ud Din |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609115872 PECOS PAC ID: 7911292214 Enrollment ID: I20180806001012 |
| Provider Name | Muhammad Arshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467735050 PECOS PAC ID: 5395019137 Enrollment ID: I20220514000040 |
| Provider Name | Solomon Neba Ambe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346771078 PECOS PAC ID: 4880072008 Enrollment ID: I20220531002319 |
| Provider Name | Adeel Siddiqui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124779616 PECOS PAC ID: 1557745239 Enrollment ID: I20220830000077 |
| Provider Name | Carolynn Rose Howk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295453009 PECOS PAC ID: 1456727288 Enrollment ID: I20221020000071 |
| Provider Name | Sharon Myers-tackie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912617663 PECOS PAC ID: 3173997459 Enrollment ID: I20230328002926 |
| Provider Name | April Polite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508565649 PECOS PAC ID: 5799146676 Enrollment ID: I20230726000443 |
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