North Central Texas Advanced Neurology PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NORTH CENTRAL TEXAS ADVANCED NEUROLOGY PA

Practice address

2351 SFM 51 Suite 100
Decatur, TX 76234-3778

Phone

(940) 626-8634

Fax

(940) 626-8637

NPI assigned

Aug 20, 2011

Organization subpart

No

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

Authorized official

Name

Muhammad Naeem, M.D.NPI 1508869116

Title

Owner M.D

Phone

(940) 626-8634

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad Naeem, M.D.

  • Neurology Physician
  • Decatur, TX
  • NPI 1508869116
  Medicare reassignment Authorized official
• Bushra Naeem, NP

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
  • NPI 1457857153
  Medicare reassignment

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

{
    "created_epoch": "1313798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1982984001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 SFM 51 SUITE 100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343778",
            "telephone_number": "940-626-8634",
            "fax_number": "940-626-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 SFM 51 SUITE 100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343778",
            "telephone_number": "940-626-8634",
            "fax_number": "940-626-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL TEXAS ADVANCED NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-20",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "NAEEM",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER M.D",
        "authorized_official_telephone_number": "940-626-8634",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS",
            "identifier": "N635",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Decatur, TX
• Providers in Decatur, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.