Rockwall Neurology, PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

P5324 Issued in TX

Legal business name

ROCKWALL NEUROLOGY, PA

Practice address

7501 Lakeview Pkwy
Suite 245
Rowlett, TX 75088-9322

Phone

(214) 907-3764

NPI assigned

Aug 5, 2013

Last updated

Aug 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julio Andino, M.D.

Title

President

Phone

(214) 907-3764

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Rockwall Neurology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rockwall Neurology, PA

  • Neurology Physician
  • Dallas, TX
  • NPI 1033500475
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julio Jose Andino-Velez, M.D.

  • Neurology Physician
  • Rockwall, TX
  • NPI 1629224670
  Medicare reassignment

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1235561937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LAKEVIEW PKWY",
            "address_2": "SUITE 245",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889322",
            "telephone_number": "214-907-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LAKEVIEW PKWY",
            "address_2": "SUITE 245",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889322",
            "telephone_number": "214-907-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "ANDINO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-907-3764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P5324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Kate Robertson, PA-C
• Mark Patrick Robinette, RPH
• Kirstyn Faith Robinson, RBT
• Olivia Robles
• Rocket Iom, PLLC
• Devin Symone Rodgers, BSW, RBT
• Lynzi Niccole Rodgers
• Kimberly Rodriguez
• Vanessa Guadalupe Rodriuez
• Rofaida El Haj Mousa MD PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.