Organization Active NPI

Neurology and Movement Disorders Center of North Texas

  • Neurology Physician
  • Arlington, TX
National Provider Identifier
1992244719
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
Q0629 Issued in TX
Legal business name
NEUROLOGY AND MOVEMENT DISORDERS CENTER OF NORTH TEXAS
Practice address
801 Road to Six Flags W Ste 127
Arlington, TX 76012-2600
Phone
(817) 697-8000
Fax
(817) 697-8800
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Dr. Halim Fadil, MD
Title
Owner
Phone
(817) 697-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Q0629 TX Primary

Addresses

Primary practice location

801 Road to Six Flags W Ste 127
Arlington, TX 76012-2600

Mailing address

801 Road to Six Flags W Ste 127
Arlington, TX 76012-2600
Phone (817) 697-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170309001026 TX Part B Supplier - Clinic/Group Practice 0042594111 Practice locations: Arlington, TX; Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

801 Road To Six Flags W
Ste 127
Arlington, TX 76012
Phone (817) 265-3841

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1992244719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROAD TO SIX FLAGS W STE 127",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122600",
            "telephone_number": "817-697-8000",
            "fax_number": "817-697-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROAD TO SIX FLAGS W STE 127",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122600",
            "telephone_number": "817-697-8000",
            "fax_number": "817-697-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AND MOVEMENT DISORDERS CENTER OF NORTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "FADIL",
        "authorized_official_first_name": "HALIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-697-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q0629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.