Child Neurology Clinics of Texas

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

CHILD NEUROLOGY CLINICS OF TEXAS

Doing business as

Dallas Pediatric Neurology Associates, Texas Child Neurology

Practice address

4032 McDermott Dr Ste 100
Plano, TX 75024

Phone

(972) 769-9000

Fax

(972) 769-0035

NPI assigned

Aug 16, 2011

Last updated

Nov 2, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

CHILD NEUROLOGY CLINICS OF TEXAS, PLLCAs reported in NPPES

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

Authorized official

Name

Diana Martin

Title

Office Manager

Phone

(972) 769-9000

Specialties & licenses 1

Addresses

Other names 1

• Dallas Pediatric Neurology Associates, Texas Child Neurology Doing business as

Part of

Child Neurology Clinics of Texas

Locations

Practitioners 3

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.

• Andrew Wayne Hurd, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Plano, TX
  • NPI 1114217593
  NPD (past)
• Cerin Daniel Jacob, DO

  • Neurology with Special Qualifications in Child Neurology Physician
  • Plano, TX
  • NPI 1285098426
  NPD (past)
• Ankita Prasad

  • Neurology with Special Qualifications in Child Neurology Physician
  • Plano, TX
  • NPI 1609363415
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1689953093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 MCDERMOTT DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-769-9000",
            "fax_number": "972-769-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 MCDERMOTT DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-769-9000",
            "fax_number": "972-769-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD NEUROLOGY CLINICS OF TEXAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILD NEUROLOGY CLINICS OF TEXAS, PLLC",
        "enumeration_date": "2011-08-16",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-769-9000"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Pediatric Neurology Associates, Texas Child Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chiefs Transit
• Hung-Ju Chien
• Amy Hong Chieu
• Adolf Chikanza
• Venkata Samba Siva Rao Chilakapati, MD
• Child Neuropsychology & Counseling Center, P.C.
• Children's BMG (One Care Domain)
• Children's Health System of Texas (Children's Health Pharmacy Plano)
• Children's Health System of Texas (Children's Medical Center Plano)
• Children's Language Development Center

• Neurology with Special Qualifications in Child Neurology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.