Integrated Neurology and Neurophysiology of North Texas

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

INTEGRATED NEUROLOGY AND NEUROPHYSIOLOGY OF NORTH TEXAS

Practice address

521 W Southlake Blvd Ste 100
Southlake, TX 76092-6173

Phone

(817) 328-3000

Fax

(827) 328-3333

NPI assigned

Apr 30, 2020

Last updated

Apr 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph K Vaughan Jr., MD

Title

Neurologist

Phone

(972) 520-6535

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IN3T Other name

Locations

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1720609811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E FM 544 STE 72",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944035",
            "telephone_number": "972-422-0140",
            "fax_number": "972-422-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926173",
            "telephone_number": "817-328-3000",
            "fax_number": "827-328-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED NEUROLOGY AND NEUROPHYSIOLOGY OF NORTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "972-520-6535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MR",
            "identifier": "1700873627",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IN3T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.