Organization · Type 2 NPI
Idera Behavioral Health PLLC
Behavioral Neurology & Neuropsychiatry Physician · Grand Prairie, TX
NPI number
1053287045
Active
Practice location
3036 Larreta
Grand Prairie, TX 75054-6794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician Primary | 2084B0040X | None listed |
Behavioral Neurology & Neuropsychiatry Physician: Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Another provider at this address
About NPI 1053287045
Idera Behavioral Health PLLC's National Provider Identifier is 1053287045, issued on Oct 15, 2025. The primary taxonomy on file is Behavioral Neurology & Neuropsychiatry Physician (2084B0040X), and the practice location is in Grand Prairie, TX. The record was last updated on Oct 15, 2025.