Southwest Neurology, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J9378 Issued in TX

Legal business name

SOUTHWEST NEUROLOGY, PA

Practice address

6701 Heritage Pkwy Ste 110
Rockwall, TX 75087-8799

Phone

(972) 412-8700

Fax

(972) 412-9700

NPI assigned

Jul 23, 2007

Last updated

Sep 28, 2010By 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

Elizabeth M Mature

Title

Administrator

Phone

(972) 412-8700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Walter L Taylor III, M.D.

  • Neurology Physician
  • Rockwall, TX
  • NPI 1992709620

  Specialist

  Medicare reassignment NPD
• Syed Farrukh Hasan Jafri, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1922238088
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1467652032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 HERITAGE PKWY STE 110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878799",
            "telephone_number": "972-412-8700",
            "fax_number": "972-412-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 HERITAGE PKWY STE 110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878799",
            "telephone_number": "972-412-8700",
            "fax_number": "972-412-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "MATURE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-412-8700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J9378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Lee Soto
• Brianna Shay Souddress, LPC
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• Soundly Speaking Therapy Services, PLLC
• Southern Charm Womens Health, PLLC
• Southwestern Radiology Associates, P.a.
• Sozo DX LLC
• Michael Alexander Spaeth, PT, DPT
• Sparks Clinic PA
• Lakquise Sparks

• Specialist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.