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PEDIATRIC NEUROLOGY OF DALLAS NPI 1043873326


NPI Information

NPI: 1043873326
Provider Name: PEDIATRIC NEUROLOGY OF DALLAS
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

CLIA Number: 45D0480699

Address:
7777 FOREST LANE
MEDICAL CITY DALLAS SUITE A-234
DALLAS, TX
ZIP 75230
Phone: (972) 566-5656
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PEDIATRIC NEUROLOGY OF DALLAS is a neurology with special qualifications in child neurology psychiatry neurology in Dallas, TX. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. PEDIATRIC NEUROLOGY OF DALLAS NPI is 1043873326. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7777 FOREST LANE
MEDICAL CITY DALLAS SUITE A-234
DALLAS, TX
ZIP 75230-507
Phone: (972) 566-5656
Fax: (972) 566-5627

The provider's authorized official is Mahshid Moein .
The authorized official title is Physician and has the following contact phone number (214) 707-8121.

The CLIA number assigned to this NPI record is 45D0480699 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2019 and was last updated on 4/22/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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