| Virtual Neurology Texas Pllc | |
|
320 Decker Dr Irving TX 75062-3999 | |
| (239) 208-2212 | |
| Not Available |
| Full Name | Virtual Neurology Texas Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 320 Decker Dr, Irving, Texas |
| Authorized Official Name and Position | Daryoush Zafar (MANAGING PARTNER) |
| Authorized Official Contact | 2392295056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Neurology Texas Pllc 11215 Metro Pkwy Ste 1 Fort Myers FL 33966-1206 Ph: (239) 208-2212 | Virtual Neurology Texas Pllc 320 Decker Dr Irving TX 75062-3999 Ph: (239) 208-2212 |
| NPI Number | 1467092114 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Medicare PECOS PAC ID | 3779910047 |
|---|---|
| Medicare Enrollment ID | O20200226001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467092114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Stafford A Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366498206 PECOS PAC ID: 3870515752 Enrollment ID: I20080307000183 |
| Provider Name | Felix Rivera-perez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003078692 PECOS PAC ID: 4981755733 Enrollment ID: I20090708000071 |
| Provider Name | Nicholas Absalom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770744112 PECOS PAC ID: 5395900633 Enrollment ID: I20120711000488 |
| Provider Name | Jennifer B Tutanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457629859 PECOS PAC ID: 1658501119 Enrollment ID: I20140228000718 |
| Provider Name | Lakshmi Mukundan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619137015 PECOS PAC ID: 6800111303 Enrollment ID: I20150204000258 |
| Provider Name | Tigist Mehari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235490426 PECOS PAC ID: 4688955370 Enrollment ID: I20170112000496 |
| Provider Name | Tao Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942401815 PECOS PAC ID: 2961558168 Enrollment ID: I20170127000192 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20200305000441 |
| Provider Name | Mark N Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932181849 PECOS PAC ID: 5092732388 Enrollment ID: I20200305000871 |
| Provider Name | Michael Snyder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932239142 PECOS PAC ID: 7719084896 Enrollment ID: I20200305000964 |
| Provider Name | Yazan M Suradi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952600223 PECOS PAC ID: 5698055945 Enrollment ID: I20200306000198 |
| Provider Name | Harsha Ghatge Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568606259 PECOS PAC ID: 5496983009 Enrollment ID: I20200306001795 |
| Provider Name | Douglas A Valenta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851553879 PECOS PAC ID: 4688728181 Enrollment ID: I20200309000758 |
| Provider Name | Maria Aguilar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518924190 PECOS PAC ID: 9133130156 Enrollment ID: I20200310002356 |
| Provider Name | Vivek Baluja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538205539 PECOS PAC ID: 0143408989 Enrollment ID: I20200312000288 |
| Provider Name | Vivian Marie Suarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107388 PECOS PAC ID: 7618145830 Enrollment ID: I20200318000740 |
| Provider Name | Sam Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20200320000119 |
| Provider Name | Rebecca Jimenez-sanders |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154587152 PECOS PAC ID: 0143536656 Enrollment ID: I20200428000224 |
| Provider Name | Mohamed Hegazy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811280100 PECOS PAC ID: 9335435254 Enrollment ID: I20200602002489 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20201203002452 |
| Provider Name | William T Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649706474 PECOS PAC ID: 6204105380 Enrollment ID: I20211015002303 |
| Provider Name | Bernadette Borte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366678344 PECOS PAC ID: 3072759604 Enrollment ID: I20211203000542 |
| Provider Name | Christopher Bixler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770575656 PECOS PAC ID: 8224100334 Enrollment ID: I20211203000880 |
| Provider Name | Amna Ramzan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063953297 PECOS PAC ID: 0244612356 Enrollment ID: I20220809000921 |
| Provider Name | Shayan A Gates |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356722284 PECOS PAC ID: 8628452984 Enrollment ID: I20220906000941 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20221110001383 |
| Provider Name | Charlene L Gunasekera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891292538 PECOS PAC ID: 1850648015 Enrollment ID: I20230711003086 |
| Provider Name | Nathanael J Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255794525 PECOS PAC ID: 0648560250 Enrollment ID: I20230714003279 |
| Provider Name | Iman Dabiri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841721628 PECOS PAC ID: 5799058194 Enrollment ID: I20230718000529 |
| Provider Name | Conny Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902365745 PECOS PAC ID: 2860856598 Enrollment ID: I20230914001103 |
| Provider Name | Siddharth Kaul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245493402 PECOS PAC ID: 4789869462 Enrollment ID: I20230918003719 |
| Provider Name | Jacob A Sambursky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619436474 PECOS PAC ID: 2365806262 Enrollment ID: I20231010001680 |
| Provider Name | Swaroopa Pulivarthi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780174268 PECOS PAC ID: 9931452059 Enrollment ID: I20231023003553 |
| Provider Name | Khadija Irshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528494689 PECOS PAC ID: 1153673462 Enrollment ID: I20240117004504 |
Revolution Monitoring, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 W Royal Ln, Suite196, Irving, TX 75063 Phone: 817-485-5100 | |
Pathway To Peace Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E John Carpenter Fwy Ste 232, Irving, TX 75062 Phone: 940-577-6304 | |
Soaring Eagles Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3213 N Macarthur Blvd, Suite 202, Irving, TX 75062 Phone: 972-870-5566 Fax: 972-870-5577 | |
Alternatives, Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E John Carpenter Fwy Ste 283, Irving, TX 75062 Phone: 970-888-1122 Fax: 469-472-1933 | |
Texas Care Center Irving Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Decker Dr, Irving, TX 75062 Phone: 281-733-7525 | |
Behavioral Innovations Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Premier Dr Ste 234, Irving, TX 75063 Phone: 855-782-7822 | |
Sequoia Family Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1071 Lake Carolyn Parkway, Apt 4064, Irving, TX 75039 Phone: 469-364-9730 |