Active NPI
Texas Benevolentcare LLC
- Neurology Physician
- Frisco, TX
National Provider Identifier
1730618620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- TEXAS BENEVOLENTCARE LLC
- Practice address
- 8380 Warren Pkwy Ste 602
Frisco, TX 75034-4253 - Phone
- (917) 860-8198
- NPI assigned
- Jun 6, 2017
- Last updated
- Jun 6, 2017
- 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
- Ifeanyi Izediuno, MD
- Title
- Ceo
- Phone
- (917) 860-8198
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
8380 Warren Pkwy Ste 602
Frisco, TX 75034-4253
Mailing address
PO Box 940194
Plano, TX 75094-0194
Phone (917) 860-8198
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496707200000",
"number": "1730618620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 940194",
"city": "PLANO",
"state": "TX",
"postal_code": "750940194",
"telephone_number": "917-860-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 WARREN PKWY STE 602",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344253",
"telephone_number": "917-860-8198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS BENEVOLENTCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-06",
"last_updated": "2017-06-06",
"status": "A",
"authorized_official_last_name": "IZEDIUNO",
"authorized_official_first_name": "IFEANYI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-860-8198",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
- Kelly Terwilliger, IHP, CPT
- Emma Noelle Tessier
- Traci Test, PHD, LPC-S
- Anitha Tetali, DDS
- Kristen Hager Teuschl, DPT
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.