| North Texas Neurology Alliance Pllc | |
|
1722 9th St Wichita Falls TX 76301-5003 | |
| (940) 322-1075 | |
| (940) 322-8215 |
| Full Name | North Texas Neurology Alliance Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1722 9th St, Wichita Falls, Texas |
| Authorized Official Name and Position | Tamra V Springer (ACCOUNT ADMINISTRATOR) |
| Authorized Official Contact | 5206858825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Neurology Alliance Pllc 1722 9th St Wichita Falls TX 76301-5003 Ph: (940) 322-1075 | North Texas Neurology Alliance Pllc 1722 9th St Wichita Falls TX 76301-5003 Ph: (940) 322-1075 |
| NPI Number | 1598420176 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 11/08/2021 |
| Certification Date | 11/08/2021 |
| Medicare PECOS PAC ID | 2062802895 |
|---|---|
| Medicare Enrollment ID | O20211209000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598420176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Danny R Bartel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679535843 PECOS PAC ID: 5799693313 Enrollment ID: I20040519001142 |
| Provider Name | Sirisha Thummalapenta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851740088 PECOS PAC ID: 8123307154 Enrollment ID: I20211209001005 |
| Provider Name | Susan Hodge-baley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396406534 PECOS PAC ID: 9436516101 Enrollment ID: I20230612001920 |
| Provider Name | Carrie Renee Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588446793 PECOS PAC ID: 3870939259 Enrollment ID: I20240307001932 |
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