Organization Active NPI

Conway Neurology Specialties PA

  • Neurology Physician
  • Sherman, TX
National Provider Identifier
1710136072
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M7919 Issued in TX
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

Updated by the provider on Sep 11, 2008

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
085608001MedicaidTX

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.