Active NPI
Conway Neurology Specialties PA
- Neurology Physician
- Sherman, TX
National Provider Identifier
1710136072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M7919
- Legal business name
- CONWAY NEUROLOGY SPECIALTIES PA
- Practice address
- 2900 Wellington Dr
Sherman, TX 75092-5084 - Phone
- (903) 893-1758
- NPI assigned
- Sep 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stafford A Conway, M.D.
- Title
- President
- Phone
- (903) 893-1758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M7919 | TX | Primary |
Addresses
Primary practice location
2900 Wellington Dr
Sherman, TX 75092-5084
Mailing address
2900 Wellington Dr
Sherman, TX 75092-5084
Phone (903) 893-1758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085608001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221091200000",
"number": "1710136072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 WELLINGTON DR",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750925084",
"telephone_number": "903-893-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 WELLINGTON DR",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750925084",
"telephone_number": "903-893-1758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONWAY NEUROLOGY SPECIALTIES PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A",
"authorized_official_last_name": "CONWAY",
"authorized_official_first_name": "STAFFORD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-893-1758",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "M7919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085608001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.