Neurology Associates of Fort Worth

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROLOGY ASSOCIATES OF FORT WORTH

Practice address

1325 Pennsylvania Ave
Suite 700
Fort Worth, TX 76104-2158

Phone

(817) 332-2876

Fax

(817) 877-3672

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Roger S Blair, MD

Title

Owner

Phone

(817) 332-2876

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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

• Mohammad Walid Asfour, MD

  • Neurology Physician
  • Burleson, TX
  • NPI 1275590283
  NPD (past)
• Lawrence J Hayward, PA

  • Physician Assistant
  • Weatherford, TX
  • NPI 1396797932
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1669423406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961013",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761610013",
            "telephone_number": "817-332-2876",
            "fax_number": "817-877-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE",
            "address_2": "SUITE 700",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042158",
            "telephone_number": "817-332-2876",
            "fax_number": "817-877-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF FORT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-332-2876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "00BR07",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP NUMBER",
            "identifier": "C14514",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095026302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neurobridge PLLC
• Neurohealth Monitoring LLC
• Neurological Center of Excellence
• Neurological Recovery for the Armed Services
• Neurological Services of Texas, P.a.
• Neurosurgical and Spine Consultants, PA
• Neurosurgical and Spine Consultants, PA
• Neurosurgical Associates of North Texas PLLC
• Neurosynaptic Monitoring LLC
• Matthew Nevarez, PT

• Neurology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.