NPI 1407134141 · live from the CMS NPI Registry
Advance Neurology Care PA
Psychiatry & Neurology, Neurology in Palestine, TX. National Provider Identifier 1407134141, active.
NPI record
| NPI | 1407134141 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 38 Rambling Rd, Palestine, TX 75801 |
| Practice phone | 888-395-4007 |
| Mailing address | 21218 Saint Andrews Blvd # 529, Boca Raton, FL 33433 |
| Enumerated | July 29, 2011 |
| Last updated | July 29, 2011 |
| Authorized official | Russell Packard, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | l5082 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.