ADVANCED NEUROSCIENCE CLINIC PA NPI 1518003334

NPI Information

  • NPI: 1518003334
  • Provider Name: ADVANCED NEUROSCIENCE CLINIC, PA
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 3400 ANDREWS HWY
    MIDLAND, TX
    ZIP 79703
  • Phone: (432) 570-9991

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NPI Details

ADVANCED NEUROSCIENCE CLINIC, PA is a neurology psychiatry neurology in Midland, 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. ADVANCED NEUROSCIENCE CLINIC, PA NPI is 1518003334. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 ANDREWS HWY
MIDLAND, TX
ZIP 79703-100
Phone: (432) 570-9991
Fax: (432) 570-9998

The provider's authorized official is Manoher L. Gurru .
The authorized official title is Owner and has the following contact phone number (432) 570-9991.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 10/8/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyL2914TEXASYes
22084N0400XPsychiatry & NeurologyNeurologyM3833TEXASNo
32084N0600XPsychiatry & NeurologyClinical NeurophysiologyL2914TEXASNo
42084N0600XPsychiatry & NeurologyClinical NeurophysiologyM3833TEXASNo
52084S0012XPsychiatry & NeurologySleep MedicineL2914TEXASNo

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10018HQOTHERTEXASBCBS
2149225801MEDICAIDTEXAS

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: 3/30/2025

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