Organization Active NPI

Prime Neurosurgeon PLLC

  • Neurological Surgery Physician
  • Dallas, TX
National Provider Identifier
1972033405
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
PRIME NEUROSURGEON PLLC
Practice address
8080 Park LN Ste 400
Dallas, TX 75231-5926
Phone
(214) 378-4656
Fax
(866) 375-8173
NPI assigned
Jun 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Authorized official

Name
Ms. Hollie Seago
Title
DRC
Phone
(214) 378-4656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

8080 Park LN Ste 400
Dallas, TX 75231-5926

Mailing address

PO Box 674074
Dallas, TX 75267-4074

National Provider Directory

National Provider Directory

Locations

8080 Park Ln
Ste 400
Dallas, TX 75231

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1972033405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674074",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 PARK LN STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315926",
            "telephone_number": "214-378-4656",
            "fax_number": "866-375-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME NEUROSURGEON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "SEAGO",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "DRC",
        "authorized_official_telephone_number": "214-378-4656",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.