Organization Active NPI

Angelina Neurology PA

  • Neurology Physician
  • Lufkin, TX
National Provider Identifier
1891932075
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ANGELINA NEUROLOGY PA
Practice address
216 N John Redditt Dr
Lufkin, TX 75904-2620
Phone
(936) 632-2107
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Munawwer Khurshid
Title
Physician
Phone
(936) 632-2107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

216 N John Redditt Dr
Lufkin, TX 75904-2620

Mailing address

216 N John Redditt Dr
Lufkin, TX 75904-2620
Phone (936) 632-2107

National Provider Directory

National Provider Directory

Locations

402 S John Redditt Dr
Ste 201
Lufkin, TX 75904
Phone (936) 632-3029

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1891932075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042620",
            "telephone_number": "936-632-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042620",
            "telephone_number": "936-632-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "KHURSHID",
        "authorized_official_first_name": "MUNAWWER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "936-632-2107"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.