Neuro MD Diagnostic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEURO MD DIAGNOSTIC LLC

Practice address

671 Flagstone Dr
Irving, TX 75039-3811

Phone

(214) 396-7397

NPI assigned

Feb 11, 2019

Organization subpart

No

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

Authorized official

Name

Frank Gray III

Title

Director

Phone

(844) 212-5321

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1114483575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 FLAGSTONE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 FLAGSTONE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393811",
            "telephone_number": "214-396-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO MD DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "844-212-5321",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Nelson, PT, NCS, GCS
• Nadja Jovon Nelson, PMHNP-BC
• Nephron MD PA
• Net Time Inc
• Alleigh Netz
• Neurocenter Texas PA
• Neurology Associates of Texas, PLLC
• Neuroscience and Headache Center of North Texas, PLLC
• Iris Nevarez
• Daniel Thomas Nevin, MD

• Family Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.