Active NPI
DFW Neurology PLLC
- Neurology Physician
- Fort Worth, TX
National Provider Identifier
1194978478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M9524
- Legal business name
- DFW NEUROLOGY PLLC
- Practice address
- 6800 Harris Pkwy
Suite 130
Fort Worth, TX 76132-4240 - Phone
- (817) 292-0088
- Fax
- (855) 285-0906
- NPI assigned
- Oct 30, 2008
- 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
- Dr. Lavanya L Nagineni, MD
- Title
- Sole Member
- Phone
- (817) 292-0088
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M9524 | TX | Primary |
| Neuroradiology Physician | 2085N0700X |
Addresses
Primary practice location
6800 Harris Pkwy
Suite 130
Fort Worth, TX 76132-4240
Mailing address
6800 Harris Pkwy
Suite 130
Fort Worth, TX 76132-4240
Phone (817) 292-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201059701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
6800 Harris Pkwy
Ste 130
Fort Worth, TX 76132
Phone (817) 292-0088
6401 Harris Pkwy
Ste 130
Ft Worth, TX 76132
6100 Harris Pkwy
Ste 110A
Ft Worth, TX 76132
Phone (817) 433-5400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Fort Worth, TX
- NPI 1558449603
-
- Adult Health Nurse Practitioner
- Maryville, IL
- NPI 1336565852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670889600000",
"number": "1194978478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 HARRIS PKWY",
"address_2": "SUITE 130",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324240",
"telephone_number": "817-292-0088",
"fax_number": "855-285-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 HARRIS PKWY",
"address_2": "SUITE 130",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324240",
"telephone_number": "817-292-0088",
"fax_number": "855-285-0906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DFW NEUROLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-30",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A",
"authorized_official_last_name": "NAGINENI",
"authorized_official_first_name": "LAVANYA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "817-292-0088",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "M9524",
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201059701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.