PEDIATRIC NEUROLOGY OF DALLAS (NPI# 1043873326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043873326 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC NEUROLOGY OF DALLAS |
| Practice Address |
7777 Forest Lane Medical City Dallas Suite A-234 Dallas TX 75230-2507 |
| Mailing Address |
7777 Forest Lane Medical City Dallas Suite B-248 Dallas TX 75230-2507 |
| Practice Telephone | 9725665656 |
| Practice Fax Number | 9725665627 |
| Mailing Telephone | 9725668600 |
| Mailing Fax Number | 9725668601 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | MRS. MAHSHID MOEIN (PHYSICIAN) |
| Authorized Official Telephone | 2147078121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
7777 FOREST LANE MEDICAL CITY DALLAS SUITE A-234 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283647 | Pediatric Allergy Immunology Assoc.,p.a. | Allergy & Immunology | 7777 Forest Lane, Sb332, Dallas, TX 75230-6822 | 2005-05-24 |
| 1326686817 | Kylie Elise Morris | Nurse Practitioner | 7777 Forest Lane, Dallas, TX 75230 | 2019-12-15 |
| 1053874040 | Angela Henslee Forte | Nurse Practitioner | 7777 Forest Lane, D-570, Dallas, TX 75230 | 2019-04-08 |
| 1053813840 | Jerry Stokes | Chiropractor | 7777 Forest Lane, Suite B115, Dallas, TX 75230-6849 | 2018-03-07 |
| 1619321056 | Joyce E Wilcher | Nurse Practitioner | 7777 Forest Lane, D569, Dallas, TX 75230 | 2016-04-22 |
| 1245698539 | Linda W Edgerton | Nurse Practitioner | 7777 Forest Lane, D569, Dallas, TX 75230 | 2016-02-02 |
| 1942628722 | Sheryl Walker | Genetic Counselor, MS | 7777 Forest Lane, Bldg A Suite 204, Dallas, TX 75230 | 2014-03-31 |
| 1184053860 | Katie Ann Duffy | Physician Assistant | 7777 Forest Lane, Dallas, TX 75230-2571 | 2013-11-04 |
| 1538503735 | Dina Madni | Surgery | 7777 Forest Lane, Suite A-331, Dallas, TX 75230 | 2013-04-18 |
| 1629322599 | Nicole Renee Mendez | Nurse Practitioner | 7777 Forest Lane, A-307, Dallas, TX 75230 | 2012-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033309836 | Sailaja Golla | Psychiatry & Neurology | 2350 Stemmons Fwy., Suite 5400, Dallas, TX 75207 | 2007-07-27 |
| 1568999472 | Berge Minassian | Psychiatry & Neurology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2017-05-23 |
| 1205178035 | Mathew A Stokes | Psychiatry & Neurology | 1935 Medical District Dr, Graduate Medical Education, Dallas, TX 75235-7701 | 2013-03-19 |
| 1912252388 | Michelle Rose Christie | Psychiatry & Neurology | 2222 Welborn St, Dallas, TX 75219-3924 | 2012-07-20 |
| 1023338381 | Eric Michael Remster | Psychiatry & Neurology | 5323 Harry Hines Boulevard, Dallas, TX 75390-7201 | 2010-06-09 |
| 1134445620 | Jennifer Muncy Thomas | Psychiatry & Neurology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2010-04-09 |
| 1801038062 | Lauren Nicole Dengle | Psychiatry & Neurology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2009-04-01 |
| 1700037603 | Raphael Schiffmann | Psychiatry & Neurology | 3600 Gaston Ave, Suite 1155, Dallas, TX 75246-1800 | 2008-10-09 |
| 1558524629 | Saima Naeem Kayani | Psychiatry & Neurology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2008-07-08 |
| 1962662726 | Alison Marie Dolce | Psychiatry & Neurology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2008-06-14 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.