Neurological Doctors of Dallas PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K0230 Issued in TX

Legal business name

NEUROLOGICAL DOCTORS OF DALLAS PA

Practice address

11884 Greenville Ave Ste 110a
Dallas, TX 75243-3537

Phone

(214) 575-6633

Fax

(214) 575-6638

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Micheal I Vengrow

Title

President

Phone

(214) 575-6633

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1770766941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11884 GREENVILLE AVE STE 110A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433537",
            "telephone_number": "214-575-6633",
            "fax_number": "214-575-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11884 GREENVILLE AVE STE 110A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433537",
            "telephone_number": "214-575-6633",
            "fax_number": "214-575-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL DOCTORS OF DALLAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "VENGROW",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-575-6633",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K0230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00400K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neurologic Monitoring LLP
• Neurologic Protection Services, PLLC
• Neurological Associates of North Texas
• Neurological Associates of North Texas PLLC
• Neurological Clinic of Texas PA
• Neurological Surgeons of Dallas
• Neurology Consultants of Dallas, P.a.
• Neurology Diagnostic Centers of Dallas Inc
• Neurology Specialists of Dallas, PA
• Neurology Specialists PLLC

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.