| Rockwall Neurology, Pa | |
|
7501 Lakeview Pkwy Suite 245 Rowlett TX 75088-9322 | |
| (214) 907-3764 | |
| Not Available |
| Full Name | Rockwall Neurology, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7501 Lakeview Pkwy, Rowlett, Texas |
| Authorized Official Name and Position | Julio Andino (PRESIDENT) |
| Authorized Official Contact | 2149073764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockwall Neurology, Pa 7501 Lakeview Pkwy Suite 245 Rowlett TX 75088-9322 Ph: (214) 907-3764 | Rockwall Neurology, Pa 7501 Lakeview Pkwy Suite 245 Rowlett TX 75088-9322 Ph: (214) 907-3764 |
| NPI Number | 1235561937 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/08/2013 |
| Medicare PECOS PAC ID | 0345482386 |
|---|---|
| Medicare Enrollment ID | O20130805000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235561937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | P5324 (Texas) | Primary |
| Provider Name | Julio J Andino-velez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629224670 PECOS PAC ID: 6204078942 Enrollment ID: I20130809000297 |
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