Usha Walia MD PA

Primary specialty

Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X

License

J0719 Issued in TX

Legal business name

USHA WALIA MD PA

Practice address

2719 Northridge Dr Ste 107
Bedford, TX 76021-4191

Phone

(817) 803-3610

NPI assigned

Jan 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Usha Walia, MD

Title

Manager

Phone

(817) 803-3610

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1306084793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 NORTHRIDGE DR STE 107",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214191",
            "telephone_number": "817-803-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 NORTHRIDGE DR STE 107",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214191",
            "telephone_number": "817-803-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USHA WALIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "WALIA",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-803-3610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TX",
            "license": "J0719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034396401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Bedford, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.