| Rockwall Neurology, Pa | |
|
9330 Poppy Dr Suite 500b Dallas TX 75218-4621 | |
| (469) 443-0742 | |
| (469) 443-0501 |
| Full Name | Rockwall Neurology, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 9330 Poppy Dr, Dallas, Texas |
| Authorized Official Name and Position | Julio Andino (PRESIDENT) |
| Authorized Official Contact | 4694430742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockwall Neurology, Pa 7501 Lakeveiw Parkway Suite 245 Rowlett TX 75088-9326 Ph: (469) 443-0742 | Rockwall Neurology, Pa 9330 Poppy Dr Suite 500b Dallas TX 75218-4621 Ph: (469) 443-0742 |
| NPI Number | 1033500475 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 02/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033500475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | P5324 (Texas) | Primary |
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