Active NPI
Neurohelath Center PLLC
- Neurology Physician
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- L4660
- Legal business name
- NEUROHELATH CENTER PLLC
- Practice address
- 713 N 4TH St
Suite #2
Longview, TX 75601-5412 - Phone
- (903) 757-7056
- Fax
- (903) 757-7260
- NPI assigned
- Apr 20, 2007
- Last updated
- Nov 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Uma Pulipaka, MD
- Title
- President
- Phone
- (903) 757-7056
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | L4660 | TX | Primary |
Addresses
Primary practice location
713 N 4TH St
Suite #2
Longview, TX 75601-5412
Mailing address
PO Box 1432
Longview, TX 75606-1432
Phone (903) 757-7056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152867101 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
713 N 4th St
Ste 2
Longview, TX 75601
Phone (430) 240-8767
Practitioners & affiliated clinicians
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.
-
- Neurology Physician
- Longview, TX
- NPI 1700881562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320710400000",
"number": "1447478169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1432",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756061432",
"telephone_number": "903-757-7056",
"fax_number": "903-757-7260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 N 4TH ST",
"address_2": "SUITE #2",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015412",
"telephone_number": "903-757-7056",
"fax_number": "903-757-7260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROHELATH CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2011-11-08",
"status": "A",
"authorized_official_last_name": "PULIPAKA",
"authorized_official_first_name": "UMA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-757-7056",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "L4660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152867101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.