Neuroscience And Headache Center Of North Texas, Pllc | |
9607 Valley Lake Ln Irving TX 75063-5014 | |
(469) 323-8112 | |
Not Available |
Full Name | Neuroscience And Headache Center Of North Texas, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 9607 Valley Lake Ln, Irving, Texas |
Authorized Official Name and Position | Mohamed Summakia (PRESIDENT) |
Authorized Official Contact | 4693238112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuroscience And Headache Center Of North Texas, Pllc 9607 Valley Lake Ln Irving TX 75063-5014 Ph: () - | Neuroscience And Headache Center Of North Texas, Pllc 9607 Valley Lake Ln Irving TX 75063-5014 Ph: (469) 323-8112 |
NPI Number | 1174986319 |
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Provider Enumeration Date | 04/04/2016 |
Last Update Date | 04/04/2016 |
Medicare PECOS PAC ID | 4587963756 |
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Medicare Enrollment ID | O20160422001297 |
Identifier | Type | State | Issuer |
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1174986319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | N0488 (Texas) | Primary |
Provider Name | Mohamed Summakia |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1962430553 PECOS PAC ID: 4789680661 Enrollment ID: I20090317000248 |
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