Active NPI
TCN Pediatric Neurology, PLLC
- Neurology with Special Qualifications in Child Neurology Physician
- Plano, TX
National Provider Identifier
1003369224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- Legal business name
- TCN PEDIATRIC NEUROLOGY, PLLC
- Practice address
- 4032 McDermott Rd
Suite 100
Plano, TX 75024-7733 - Phone
- (972) 469-9000
- Fax
- (972) 769-0035
- NPI assigned
- Jul 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Kay Martin
- Title
- Office Manager
- Phone
- (972) 415-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | Primary |
Addresses
Primary practice location
4032 McDermott Rd
Suite 100
Plano, TX 75024-7733
Mailing address
4032 McDermott Rd
Suite 100
Plano, TX 75024-7733
Phone (972) 469-9000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469404800000",
"number": "1003369224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4032 MCDERMOTT RD",
"address_2": "SUITE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750247733",
"telephone_number": "972-469-9000",
"fax_number": "972-769-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4032 MCDERMOTT RD",
"address_2": "SUITE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750247733",
"telephone_number": "972-469-9000",
"fax_number": "972-769-0035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TCN PEDIATRIC NEUROLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-25",
"last_updated": "2016-07-25",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "DIANA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "972-415-7000"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.