Neurocenter Texas PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

J2296 Issued in TX

Legal business name

NEUROCENTER TEXAS PA

Practice address

7701 Las Colinas RDG Ste 260
Irving, TX 75063-7554

Phone

(972) 869-3448

Fax

(469) 372-5307

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Tisha E Bailleu

Title

Practice Administrator

Phone

(214) 239-2078

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas H Salmon, M.D.

  • Neurology Physician
  • Irving, TX
  • NPI 1124124110
  Medicare reassignment NPD

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1477870954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 LAS COLINAS RIDGE",
            "address_2": "SUITE 260",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637554",
            "telephone_number": "972-869-3448",
            "fax_number": "469-372-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 LAS COLINAS RDG STE 260",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637554",
            "telephone_number": "972-869-3448",
            "fax_number": "469-372-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCENTER TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "BAILLEU",
        "authorized_official_first_name": "TISHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-239-2078"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J2296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477870954",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadja Jovon Nelson, PMHNP-BC
• Nephron MD PA
• Net Time Inc
• Alleigh Netz
• Neuro MD Diagnostic LLC
• Neurology Associates of Texas, PLLC
• Neuroscience and Headache Center of North Texas, PLLC
• Iris Nevarez
• Daniel Thomas Nevin, MD
• New Avenue Dentistry, PLLC

• Neurology Physician in Irving, TX
• Providers in Irving, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.