Applied Neurophysiology, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

H2492 Issued in TX

Legal business name

APPLIED NEUROPHYSIOLOGY, PLLC

Practice address

4025 Stanford Ave
Dallas, TX 75225-7006

Phone

(214) 536-1647

Fax

(214) 580-7600

NPI assigned

Mar 6, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nolan Bruce Jenevein, MD

Title

President

Phone

(214) 738-4961

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1053704692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 LUTHER LN # 492",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256202",
            "telephone_number": "214-536-1647",
            "fax_number": "214-580-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 STANFORD AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752257006",
            "telephone_number": "214-536-1647",
            "fax_number": "214-580-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED NEUROPHYSIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "JENEVEIN",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-738-4961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H2492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Appraise Health Clinic, PLLC
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• Apraxia Dallas, PLLC

• Neurology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.