Dallas Advanced Neurosurgical Center PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

DALLAS ADVANCED NEUROSURGICAL CENTER PLLC

Practice address

2900 McKinnon St Apt 2708
Dallas, TX 75201-0900

Phone

(512) 937-4861

Fax

(214) 888-4450

NPI assigned

Mar 4, 2020

Last updated

Mar 4, 2022By 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

Patricia Y Gadaria

Title

Admin

Phone

(512) 937-4861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1366077984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 MCKINNON ST APT 2708",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752010900",
            "telephone_number": "512-937-4861",
            "fax_number": "214-888-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MCKINNON ST APT 2708",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752010900",
            "telephone_number": "512-937-4861",
            "fax_number": "214-888-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS ADVANCED NEUROSURGICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "GADARIA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "512-937-4861"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.