FT WORTH NEUROLOGY CONSULTANTS PA NPI 1447244975

NPI Information

FT WORTH NEUROLOGY CONSULTANTS PA is a neurology psychiatry neurology in Fort Worth, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. FT WORTH NEUROLOGY CONSULTANTS PA NPI is 1447244975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1307 8TH AVE
SUITE 301
FORT WORTH, TX
ZIP 76104-137
Phone: (817) 920-0900
Fax: (817) 920-0969

The provider's authorized official is Shirley A Molenich .
The authorized official title is Owner and has the following contact phone number (817) 920-0900.

The CLIA number assigned to this NPI record is 45D0925637 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 7/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.