Advance Neurology Care PA
Organization Active NPI Neurology Physician · Palestine, TX
NPI 1407134141 · NPPES record last updated Jul 29, 2011
Key facts
- NPI
- 1407134141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- L5082 (TX)
- Legal business name
- ADVANCE NEUROLOGY CARE PA
- Practice address
- 38 Rambling Rd
Palestine, TX 75801-4666 - Phone
- (888) 395-4007
- NPI assigned
- Jul 29, 2011
- Organization subpart
- No
Authorized official
- Name
- Russell Packard, MD
- Title
- Owner
- Phone
- (888) 395-4007
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | L5082 | TX | Yes |
Addresses
Primary practice location
38 Rambling Rd
Palestine, TX 75801-4666
Mailing address
21218 Saint Andrews Blvd # 529
Boca Raton, FL 33433-2435
Phone (888) 395-4007
Other providers in Palestine, TX
- Leia R Adams-Gray
- Cason Lane Adams
- Erin Adams
- Adebayo Adewale
- Modinat Abidemi Adewale
- Ahm Action Home Health, LP
- Alan D. Shiller M.D., P.a.
- Allen Family Dentistry - Palestine PLLC
- Steven L Allen
- Brandy Almasalmeh
All providers in Palestine, TX · Neurology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.