| Comprehensive Neurology Center, Pa | |
|
1600 Coit Rd Ste 406 Plano TX 75075-6173 | |
| (469) 977-1010 | |
| (469) 977-1155 |
| Full Name | Comprehensive Neurology Center, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1600 Coit Rd Ste 406, Plano, Texas |
| Authorized Official Name and Position | Supriya Thirunarayanan (PRESIDENT) |
| Authorized Official Contact | 4699771010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Neurology Center, Pa 1600 Coit Rd Ste 406 Plano TX 75075-6173 Ph: (469) 977-1010 | Comprehensive Neurology Center, Pa 1600 Coit Rd Ste 406 Plano TX 75075-6173 Ph: (469) 977-1010 |
| NPI Number | 1124809199 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 3779932462 |
|---|---|
| Medicare Enrollment ID | O20231206002475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124809199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Supriya Thirunarayanan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548324163 PECOS PAC ID: 8325224462 Enrollment ID: I20110525000440 |
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