| Greenville Neurology Assoc, Md Pa | |
|
5550 Warren Pkwy Ste 100 Frisco TX 75034-7399 | |
| (214) 618-0808 | |
| (469) 200-8097 |
| Full Name | Greenville Neurology Assoc, Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5550 Warren Pkwy Ste 100, Frisco, Texas |
| Authorized Official Name and Position | Shamim Ata (OFFICE MANAGER) |
| Authorized Official Contact | 2146180808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Neurology Assoc, Md Pa 4501 Joe Ramsey Blvd E Ste 200 Greenville TX 75401-7842 Ph: (903) 450-8122 | Greenville Neurology Assoc, Md Pa 5550 Warren Pkwy Ste 100 Frisco TX 75034-7399 Ph: (214) 618-0808 |
| NPI Number | 1649468059 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649468059 | NPI | - | NPPES |
| 1767444 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | K7981 (Texas) | Primary |
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