Active NPI
Longview Neurological Clinic PLLC
- Vascular Neurology Physician
- Granbury, TX
National Provider Identifier
1225280704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- K0451
- Legal business name
- LONGVIEW NEUROLOGICAL CLINIC PLLC
- Practice address
- 2441 E US Highway 377
Suite 105
Granbury, TX 76049-5991 - Phone
- (903) 235-0319
- NPI assigned
- Oct 16, 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
- Liana E Dawson, M.D.
- Title
- Owner/Manager
- Phone
- (903) 235-0319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | K0451 | TX | Primary |
Addresses
Primary practice location
2441 E US Highway 377
Suite 105
Granbury, TX 76049-5991
Mailing address
2441 E US Highway 377
Suite 105
Granbury, TX 76049-5991
Phone (903) 235-0319
National Provider Directory
National Provider DirectoryLocations
2441 E US Highway 377
Ste 105
Granbury, TX 76049
Phone (817) 573-7474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477612800000",
"number": "1225280704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 E US HIGHWAY 377",
"address_2": "SUITE 105",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760495991",
"telephone_number": "903-235-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 E US HIGHWAY 377",
"address_2": "SUITE 105",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760495991",
"telephone_number": "903-235-0319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGVIEW NEUROLOGICAL CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-16",
"last_updated": "2016-10-28",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "LIANA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "903-235-0319",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "TX",
"license": "K0451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.