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PEDINEURO LLC NPI 1801286075


NPI Information

NPI: 1801286075
Provider Name: PEDINEURO LLC
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
3403 NEEDLES DR
AUSTIN, TX
ZIP 78746
Phone: (412) 920-4000
Get Directions

PEDINEURO LLC is a neurology with special qualifications in child neurology psychiatry neurology in Austin, 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. PEDINEURO LLC NPI is 1801286075. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3403 NEEDLES DR
AUSTIN, TX
ZIP 78746-410
Phone: (412) 920-4000

The provider's authorized official is Christie J Neville .
The authorized official title is Administrator and has the following contact phone number (512) 917-0642.

The enumeration date for this NPI number is 1/27/2015 and was last updated on 1/27/2015.


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 NeurologyG2405TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B23848MEDICARE UPINTEXAS

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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