| 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 |
| Location | 713 N 4th St, Longview, Texas |
| Authorized Official Name and Position | Uma Pulipaka (PRESIDENT) |
| Authorized Official Contact | 9037577056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 7517916406 |
|---|---|
| Medicare Enrollment ID | O20050118000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447478169 | NPI | - | NPPES |
| 152867101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | L4660 (Texas) | Primary |
| Provider Name | Uma P Pulipaka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700881562 PECOS PAC ID: 7315996204 Enrollment ID: I20100527000081 |
Kimberly Clough Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Tristan Ln, Longview, TX 75604 Phone: 903-918-6574 Fax: 903-704-0980 | |
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 | |
Jonathan C. Lockhart, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 111, Longview, TX 75604 Phone: 903-295-8994 Fax: 903-295-8987 | |
Core Health Systems Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1300 N 6th St # A, Longview, TX 75601 Phone: 903-232-8928 Fax: 903-918-1813 | |
Willem H. Fahrenbruck, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3122 Nealy Way Ste 201, Longview, TX 75605 Phone: 903-452-8040 | |
Diversified Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 W Fairmont St, Suite C, Longview, TX 75604 Phone: 903-238-9553 Fax: 903-291-8709 | |
7872 Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 615 Clinic Dr, Longview, TX 75605 Phone: 903-212-3105 |