| North Texas Movement Disorders Institute, Inc | |
|
4931 Long Prairie Rd Ste 100 Flower Mound TX 75028-2787 | |
| (817) 886-0369 | |
| (817) 268-9011 |
| Full Name | North Texas Movement Disorders Institute, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4931 Long Prairie Rd Ste 100, Flower Mound, Texas |
| Authorized Official Name and Position | Madhavi Thomas (PRESIDENT) |
| Authorized Official Contact | 8178860369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Movement Disorders Institute, Inc 621 Palo Duro Dr Hurst TX 76054-6009 Ph: (817) 886-0369 | North Texas Movement Disorders Institute, Inc 4931 Long Prairie Rd Ste 100 Flower Mound TX 75028-2787 Ph: (817) 886-0369 |
| NPI Number | 1689985038 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/07/2022 |
| Medicare PECOS PAC ID | 8527256957 |
|---|---|
| Medicare Enrollment ID | O20101229000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689985038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | L2694 (Texas) | Primary |
| Provider Name | Madhavi Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558337238 PECOS PAC ID: 3476503913 Enrollment ID: I20050124000259 |
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