Active NPI
Conway Neurology Specialties, PA
- Neurology Physician
- Denison, TX
National Provider Identifier
1871736629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M7919
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M7919 | TX | Primary |
| Neurology Physician | 2084N0400X | 25694 | OK | |
| Neurology Physician | 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 DirectoryLocations
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.