Organization Active NPI

Precise Neuro Management Services Inc

  • Neurology Physician
  • Lewisville, TX
National Provider Identifier
1447615117
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
129953 Issued in CA
Legal business name
PRECISE NEURO MANAGEMENT SERVICES INC
Practice address
2781 Ithaca Place
Lewisville, TX 75067
Phone
(702) 530-7492
Fax
(877) 705-3046
NPI assigned
Dec 23, 2015
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Mr. Adam Atif Siddiqul
Title
Ceo/President
Phone
(214) 972-8151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X 129953 CA Primary

Addresses

Primary practice location

2781 Ithaca Place
Lewisville, TX 75067

Mailing address

PO Box 297
Coppell, TX 75019
Phone (702) 530-7492

National Provider Directory

National Provider Directory
Tax ID family
Precise Neuro Management Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1447615117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "702-530-7492",
            "fax_number": "877-705-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 ITHACA PLACE",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067",
            "telephone_number": "702-530-7492",
            "fax_number": "877-705-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE NEURO MANAGEMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "ATIF",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "214-972-8151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "129953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.