Neurophysiology

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

H2492 Issued in TX

Legal business name

NEUROPHYSIOLOGY

Practice address

6116 N Central Expy
Suite 1000
Dallas, TX 75206-5162

Phone

(214) 738-4961

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nolan Bruce Jenevein, M.D.

Title

President

Phone

(214) 738-4961

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1760700330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 SAN FERNANDO WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184434",
            "telephone_number": "214-738-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 N CENTRAL EXPY",
            "address_2": "SUITE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065162",
            "telephone_number": "214-738-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPHYSIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "JENEVEIN",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-738-4961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H2492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurology Diagnostic Centers of Dallas Inc
• Neurology Specialists of Dallas, PA
• Neurology Specialists PLLC
• Neuropain Solutions LLC
• Neuropathy Pain Clinic of Fort Worth
• Neurophysiology Professional Associates, PLLC
• Neuropsychiatry Associates P.a.
• Neuropsychology and Behavioral Health Consultants, PLLC
• Neuropsychology Me PLLC
• Neurosurgeons for Children, P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.