NEUROINTERP PLLC NPI 1730605940

NPI Information

  • NPI: 1730605940
  • Provider Name: NEUROINTERP, PLLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 4025 STANFORD AVE
    DALLAS, TX
    ZIP 75225
  • Phone: (121) 453-6164

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NPI Details

NEUROINTERP, PLLC is a neurology psychiatry neurology in Dallas, 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. NEUROINTERP, PLLC NPI is 1730605940. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4025 STANFORD AVE
DALLAS, TX
ZIP 75225-006
Phone: (121) 453-6164
Fax: (214) 536-1647

The provider's authorized official is Nolan Bruce Jenevein .
The authorized official title is President and has the following contact phone number (214) 738-4961.

The enumeration date for this NPI number is 8/18/2017 and was last updated on 8/18/2017.

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 & NeurologyNeurologyH2492TEXASYes

What is NPI?

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This page was last updated on: 3/30/2025

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