| Prime Neurology & Neurodiagnostics | |
|
3019 Medlin Dr Ste 200 Arlington TX 76015-2307 | |
| (281) 522-6350 | |
| Not Available |
| Full Name | Prime Neurology & Neurodiagnostics |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3019 Medlin Dr Ste 200, Arlington, Texas |
| Authorized Official Name and Position | Solomon N Ambe (OWNER) |
| Authorized Official Contact | 2815226350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Neurology & Neurodiagnostics 3019 Medlin Dr Ste 200 Arlington TX 76015-2307 Ph: () - | Prime Neurology & Neurodiagnostics 3019 Medlin Dr Ste 200 Arlington TX 76015-2307 Ph: (281) 522-6350 |
| NPI Number | 1598524225 |
|---|---|
| Provider Enumeration Date | 03/15/2024 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Medicare PECOS PAC ID | 1658719976 |
|---|---|
| Medicare Enrollment ID | O20240405001754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598524225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Solomon Neba Ambe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346771078 PECOS PAC ID: 4880072008 Enrollment ID: I20220531002319 |
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