| Neuroedge Clinic Pllc | |
|
1315 Waters Edge Dr Ste 107 Granbury TX 76048-1300 | |
| (817) 964-3013 | |
| (817) 964-3080 |
| Full Name | Neuroedge Clinic Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1315 Waters Edge Dr Ste 107, Granbury, Texas |
| Authorized Official Name and Position | Bishnu Sapkota (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8179954887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroedge Clinic Pllc 6720 Crooked Stick Dr Fort Worth TX 76132-4536 Ph: () - | Neuroedge Clinic Pllc 1315 Waters Edge Dr Ste 107 Granbury TX 76048-1300 Ph: (817) 964-3013 |
| NPI Number | 1295532489 |
|---|---|
| Provider Enumeration Date | 02/26/2025 |
| Last Update Date | 08/19/2025 |
| Certification Date | 08/19/2025 |
| Medicare PECOS PAC ID | 0547782260 |
|---|---|
| Medicare Enrollment ID | O20250321001974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295532489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Bishnu Hari Sapkota |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679702872 PECOS PAC ID: 5698993442 Enrollment ID: I20140820001862 |
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