Organization Active NPI

Conway Neurology Specialties, PA

  • Neurology Physician
  • Denison, TX
National Provider Identifier
1871736629
Registry record updated Nov 28, 2011
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
5004 Pool Road
Denison, TX 75020-4595
Phone
(903) 548-6440
Fax
(903) 548-6441
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Stafford Austin Conway Jr., M.D.
Title
President
Phone
(903) 328-8405

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X M7919 TX Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 25694 OK
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 26931 AL

Addresses

Primary practice location

5004 Pool Road
Denison, TX 75020-4595

Mailing address

5004 Pool Road
Denison, TX 75020-4595
Phone (903) 548-6440

National Provider Directory

National Provider Directory

Locations

1014 Memorial Dr
Ste G12
Denison, TX 75020
Phone (903) 416-5864

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1871736629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 POOL ROAD",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204595",
            "telephone_number": "903-548-6440",
            "fax_number": "903-548-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 POOL ROAD",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204595",
            "telephone_number": "903-548-6440",
            "fax_number": "903-548-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY NEUROLOGY SPECIALTIES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "STAFFORD",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-328-8405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M7919",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "25694",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "26931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.