Organization Active NPI

Longview Neurological Clinic PLLC

  • Vascular Neurology Physician
  • Granbury, TX
National Provider Identifier
1225280704
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
K0451 Issued in TX
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

Updated by the provider on Oct 28, 2016

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)CodeLicenseStatePrimary
Vascular Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.