Organization · Type 2 NPI

Child Neurology Clinics of Texas

Neurology with Special Qualifications in Child Neurology Physician · Plano, TX

NPI number 1689953093 Active

Practice location

4032 Mcdermott Dr Ste 100
Plano, TX 75024

Fax (972) 769-0035

Specialties and licenses

Taxonomy	Code	License
Neurology with Special Qualifications in Child Neurology Physician Primary	2084N0402X	None listed

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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NPI record

NPI: 1689953093
Entity type: Organization (Type 2)
Issued: Aug 16, 2011
Last updated: Nov 2, 2016
Status: Active
Subpart: Yes of Child Neurology Clinics of Texas, PLLC

Other names

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Dallas Pediatric Neurology Associates, Texas Child Neurology · doing business as

Authorized official

Diana Martin
Office Manager
(972) 769-9000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689953093

Child Neurology Clinics of Texas's National Provider Identifier is 1689953093, issued on Aug 16, 2011. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Plano, TX. The record was last updated on Nov 2, 2016.