| Neurohelath Center Pllc | |
|
713 N 4th St Suite #2 Longview TX 75601-5412 | |
| (903) 757-7056 | |
| (903) 757-7260 |
| Full Name | Neurohelath Center Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 713 N 4th St, Longview, Texas |
| Authorized Official Name and Position | Uma Pulipaka (PRESIDENT) |
| Authorized Official Contact | 9037577056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurohelath Center Pllc Po Box 1432 Longview TX 75606-1432 Ph: (903) 757-7056 | Neurohelath Center Pllc 713 N 4th St Suite #2 Longview TX 75601-5412 Ph: (903) 757-7056 |
| NPI Number | 1447478169 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 11/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447478169 | NPI | - | NPPES |
| 152867101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | L4660 (Texas) | Primary |
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Heather R. Mcconnell, M.a., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 423, Longview, TX 75604 Phone: 903-759-2402 Fax: 903-759-2570 | |
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