Nerve Conduction Evaluation PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

L5082 Issued in TX

Legal business name

NERVE CONDUCTION EVALUATION PC

Practice address

308 Fay Way Dr
Palestine, TX 75801-4712

Phone

(888) 395-4007

Fax

(888) 395-3941

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Russel Packard, MD

Title

Owner

Phone

(888) 395-4007

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1669619417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MILITARY TRL",
            "address_2": "SUITE 420",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316312",
            "telephone_number": "888-395-4007",
            "fax_number": "888-395-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 FAY WAY DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014712",
            "telephone_number": "888-395-4007",
            "fax_number": "888-395-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERVE CONDUCTION EVALUATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-395-4007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L5082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Eyvonne Musick, LVN
• Nandan Kumar Puvvada
• Cherie L Neal, LVN
• Holly Lynn Nealy, LCSW
• Nephromed Associates PA
• Neurology and Radiology Partners PA
• Jerry A Newton, M.D.
• William Alex Nicodemus, FNP-C
• Northland Hearing Center, Inc. (SoundWorks Hearing Centers)
• Court Bartlett Norton, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.