Cowtown Headache Center and Neurodiagnostics, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

COWTOWN HEADACHE CENTER AND NEURODIAGNOSTICS, PLLC

Practice address

1200 Medical Plaza CT
Granbury, TX 76048-5653

Phone

(817) 592-8427

Fax

(833) 630-0542

NPI assigned

Apr 10, 2025

Last updated

Apr 14, 2025By 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. Peter Joseph O'Carroll III, MDNPI 1811190812

Title

Owner

Phone

(817) 894-0195

Specialties & licenses 2

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25861/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Peter Joseph O'Carroll III, M.D.

  • Neurology Physician
  • Granbury, TX
  • NPI 1811190812
  NPD Authorized official
• Andrew Lavear, PA-C

  • Neurology Physician
  • Fort Worth, TX
  • NPI 1336643543
  NPD (past)

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1255126272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 TRAIL BLUFF CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760486668",
            "telephone_number": "817-894-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MEDICAL PLAZA CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485653",
            "telephone_number": "817-592-8427",
            "fax_number": "833-630-0542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4055 International Plz Ste 660",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761094874",
            "country_code": "US",
            "telephone_number": "817-592-8427",
            "fax_number": "833-630-0542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COWTOWN HEADACHE CENTER AND NEURODIAGNOSTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "O'CARROLL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-894-0195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Cosa
• Cosmedic Wellness Centers, Inc (Elite Med Spa)
• Mary Ann Cotten, PH.D.
• Counseling by Penny
• Theresa Covington, MA, LPC
• Nancy Cox
• Amy Crawford
• Kolean Crawford, NURSE PRACTITIONER
• Cuyler Creech
• Sandra Crow

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.