| Neurology Consultants Of Dallas, P.a. | |
|
8390 Lyndon B Johnson Fwy Ste 1000 Dallas TX 75243-1288 | |
| (214) 750-9977 | |
| (214) 750-9983 |
| Full Name | Neurology Consultants Of Dallas, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8390 Lyndon B Johnson Fwy Ste 1000, Dallas, Texas |
| Authorized Official Name and Position | Anna S Tseng (PRESIDENT) |
| Authorized Official Contact | 2147509977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Consultants Of Dallas, P.a. 8390 Lyndon B Johnson Fwy Ste 1000 Dallas TX 75243-1288 Ph: (214) 750-9977 | Neurology Consultants Of Dallas, P.a. 8390 Lyndon B Johnson Fwy Ste 1000 Dallas TX 75243-1288 Ph: (214) 750-9977 |
| NPI Number | 1780875807 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Medicare PECOS PAC ID | 0042289340 |
|---|---|
| Medicare Enrollment ID | O20041001000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780875807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jay H Harvey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972511517 PECOS PAC ID: 6800887340 Enrollment ID: I20040521001296 |
| Provider Name | Venkatesh Nagaraddi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447381728 PECOS PAC ID: 2163510355 Enrollment ID: I20071126000235 |
| Provider Name | Samir H Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881787323 PECOS PAC ID: 5799885497 Enrollment ID: I20081204000723 |
| Provider Name | Richard C Hinton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194821942 PECOS PAC ID: 1254492614 Enrollment ID: I20100902001018 |
| Provider Name | Anna S Tseng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053417964 PECOS PAC ID: 7012109341 Enrollment ID: I20101005001085 |
| Provider Name | Puneet K Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942402466 PECOS PAC ID: 5890980718 Enrollment ID: I20101117000352 |
| Provider Name | Duc Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659477420 PECOS PAC ID: 4587851290 Enrollment ID: I20101207001028 |
| Provider Name | Steven K Gerhardt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972609766 PECOS PAC ID: 7517154222 Enrollment ID: I20101207001107 |
| Provider Name | Daniel E Krampitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104922988 PECOS PAC ID: 9830386408 Enrollment ID: I20101208000644 |
| Provider Name | Angela Young Achong Mejia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306898085 PECOS PAC ID: 0244234037 Enrollment ID: I20120323000164 |
| Provider Name | Alejandro A Magadan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659521565 PECOS PAC ID: 8022273978 Enrollment ID: I20120627000749 |
| Provider Name | Nicholas Absalom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770744112 PECOS PAC ID: 5395900633 Enrollment ID: I20120711000488 |
| Provider Name | Mary M Lively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114261401 PECOS PAC ID: 4880831254 Enrollment ID: I20130503000112 |
| Provider Name | Jennifer M Takesaka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578767802 PECOS PAC ID: 1355597246 Enrollment ID: I20131230001548 |
| Provider Name | Nirav R Pavasia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740591668 PECOS PAC ID: 9830337534 Enrollment ID: I20151203002676 |
| Provider Name | Aashoo Pande Mentreddi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215226725 PECOS PAC ID: 4486947330 Enrollment ID: I20160729000719 |
| Provider Name | Catherine W Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275777955 PECOS PAC ID: 2860771508 Enrollment ID: I20161121000289 |
| Provider Name | Kimberly Georgena Broomfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306347307 PECOS PAC ID: 7911260468 Enrollment ID: I20180413002023 |
| Provider Name | Elizabeth J Chambers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659719888 PECOS PAC ID: 5294083804 Enrollment ID: I20180730001773 |
| Provider Name | Fonda Chan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831446665 PECOS PAC ID: 6204123854 Enrollment ID: I20181108001444 |
| Provider Name | Sean Cary Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689148850 PECOS PAC ID: 1052641669 Enrollment ID: I20190925000845 |
| Provider Name | Macym T Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962812461 PECOS PAC ID: 7618300526 Enrollment ID: I20191207000126 |
| Provider Name | Ryan Jonathan Cheung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740676071 PECOS PAC ID: 6002234887 Enrollment ID: I20200910001344 |
| Provider Name | Deepa Panjeti-moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699185439 PECOS PAC ID: 0143525832 Enrollment ID: I20201209000501 |
| Provider Name | Mohamed Shabana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497117147 PECOS PAC ID: 4486060373 Enrollment ID: I20210301000832 |
| Provider Name | Brian David Ku |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235591702 PECOS PAC ID: 4284030586 Enrollment ID: I20210913001726 |
| Provider Name | Carla J Santillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376176024 PECOS PAC ID: 3375972755 Enrollment ID: I20220801002070 |
| Provider Name | Toni L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457978694 PECOS PAC ID: 7214312586 Enrollment ID: I20220922002147 |
| Provider Name | Adnan M Subei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962722876 PECOS PAC ID: 6103046461 Enrollment ID: I20230519002729 |
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