| Neuroscience And Headache Center Of North Texas, Pllc | |
|
9607 Valley Lake Ln Irving TX 75063-5014 | |
| (469) 323-8112 | |
| Not Available |
| Full Name | Neuroscience And Headache Center Of North Texas, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9607 Valley Lake Ln, Irving, Texas |
| Authorized Official Name and Position | Mohamed Summakia (PRESIDENT) |
| Authorized Official Contact | 4693238112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroscience And Headache Center Of North Texas, Pllc 9607 Valley Lake Ln Irving TX 75063-5014 Ph: () - | Neuroscience And Headache Center Of North Texas, Pllc 9607 Valley Lake Ln Irving TX 75063-5014 Ph: (469) 323-8112 |
| NPI Number | 1174986319 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 04/04/2016 |
| Medicare PECOS PAC ID | 4587963756 |
|---|---|
| Medicare Enrollment ID | O20160422001297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174986319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | N0488 (Texas) | Primary |
| Provider Name | Mohamed Summakia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962430553 PECOS PAC ID: 4789680661 Enrollment ID: I20090317000248 |
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