Us Neuro Specialists Pllc | |
3146 Clarksville St Paris TX 75460-8002 | |
(903) 732-6102 | |
Not Available |
Full Name | Us Neuro Specialists Pllc |
---|---|
Speciality | Clinic/Center |
Location | 3146 Clarksville St, Paris, Texas |
Authorized Official Name and Position | Sunil Kumar Reddy Thummala (MANAGER) |
Authorized Official Contact | 9037326102 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Us Neuro Specialists Pllc 3146 Clarksville St Paris TX 75460-8002 Ph: (903) 732-6102 | Us Neuro Specialists Pllc 3146 Clarksville St Paris TX 75460-8002 Ph: (903) 732-6102 |
NPI Number | 1265783237 |
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Provider Enumeration Date | 10/01/2012 |
Last Update Date | 02/11/2021 |
Certification Date | 02/11/2021 |
Medicare PECOS PAC ID | 6002053360 |
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Medicare Enrollment ID | O20130507000034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265783237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
261QM2500X | Clinic/center - Medical Specialty | N9970 (Texas) | Primary |
Provider Name | Sunil Kumar Reddy Thummala |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1740418540 PECOS PAC ID: 0042482739 Enrollment ID: I20110929000762 |
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