HEALTHTEXAS PROVIDER NETWORK - NEUROSURGICAL ASSOCIATES, LLP (NPI# 1205860517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205860517 |
| Entity Type | Organization |
| Organization Name | HEALTHTEXAS PROVIDER NETWORK - NEUROSURGICAL ASSOCIATES, LLP |
| Practice Address |
2021 N Macarthur Blvd Suite 515 Irving TX 75061-2222 |
| Mailing Address |
8080 N Central Expy Suite 1650 Dallas TX 75206-1838 |
| Practice Telephone | 2148208585 |
| Practice Fax Number | 2148208590 |
| Mailing Telephone | 9728608648 |
| Mailing Fax Number | 9728608679 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ELLEN ELIZABETH FOURTON (DIRECTOR) |
| Authorized Official Telephone | 9728608649 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0079LW | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881702819 | Healthtexas Provider Network - Neurosurgical Associates, LLP | Neurological Surgery | 1420 8th Ave, Suite 104, Fort Worth, TX 76104-4138 | 2006-08-29 |
| Street Address |
2021 N MACARTHUR BLVD SUITE 515 |
| City | IRVING |
| State | TX |
| Zip Code | 75061-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689919 | Sridevi Juvvadi | Internal Medicine | 2021 N Macarthur Blvd, Suite 400, Irving, TX 75061 | 2005-06-15 |
| 1285281857 | Taylor Brooke Diehl | Nurse Practitioner | 2021 N Macarthur Blvd, Irving, TX 75061-2219 | 2019-08-19 |
| 1497213227 | Hannah Coy Bashaw | Nurse Practitioner | 2021 N Macarthur Blvd, Irving, TX 75061-2219 | 2019-03-11 |
| 1669996146 | Kaylee Currie | Social Worker | 2021 N Macarthur Blvd, Irving, TX 75061-2219 | 2017-07-27 |
| 1215332218 | Raymond Kwan | Physician Assistant | 2021 N Macarthur Blvd, Ste 350, Irving, TX 75061-2219 | 2014-11-03 |
| 1003233370 | Bilkish Chunara | Nurse Practitioner | 2021 N Macarthur Blvd, Ste 210, Irving, TX 75061-2219 | 2014-03-25 |
| 1508107657 | Crystal Kittisopikul | Physician Assistant | 2021 N Macarthur Blvd, Suite 350, Irving, TX 75061-2219 | 2013-03-13 |
| 1083961254 | Dermatology of Irving Pllc | Dermatology | 2021 N Macarthur Blvd, Suite 300, Irving, TX 75061-2219 | 2012-08-07 |
| 1780947382 | Leslie Johanson | Nurse Practitioner | 2021 N Macarthur Blvd, 150, Irving, TX 75061-2219 | 2012-06-19 |
| 1578851275 | Sheila Marie Jones | Nurse Practitioner | 2021 N Macarthur Blvd, Ste 250, Irving, TX 75061-2219 | 2011-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523669 | Total Joint Cin of North Texas LLC | Neurological Surgery | 6565 N Macarthur Blvd Ste 225b, Irving, TX 75039-2490 | 2017-12-05 |
| 1295014074 | Mohamed Anver Jameel | Neurological Surgery | 2828 Gibraltar St, Irving, TX 75062 | 2011-08-10 |
| 1013160209 | David Rubin | Neurological Surgery | 1110 Cottonwood Ln Ste 110a, Irving, TX 75038-6117 | 2008-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869003 | Scott B Phillips Pllc | Neurological Surgery | 1303 Mccullough Ave Ste 166, San Antonio, TX 78212-5603 | 2020-07-29 |
| 1710595996 | Laredo Surgical Center | Neurological Surgery | 10410 Medical Loop Bldg 4a, Laredo, TX 78045-6672 | 2020-07-14 |
| 1710506803 | Houston Texas Neurosurgical Institute. Pllc | Neurological Surgery | 925 Gessner Rd Ste 500, Houston, TX 77024-2644 | 2020-04-09 |
| 1760046080 | Adam Franklin Carlton | Neurological Surgery | 301 University Blvd # Mr 0517, Galveston, TX 77555-0517 | 2019-04-23 |
| 1235698911 | South Texas Neurosurgery Associates | Neurological Surgery | 3475 W Alton Gloor Blvd Ste A, Brownsville, TX 78520 | 2019-03-13 |
| 1376009951 | Dallas Center for Neuro and Spine Excellence LLP | Neurological Surgery | 4013 Centenary Ave, Dallas, TX 75225-5430 | 2019-02-19 |
| 1679040414 | Advances Istitute for Joint and Spine Disorders | Neurological Surgery | 6160 Windhaven Pkwy Ste 200, Plano, TX 75093-2138 | 2018-10-30 |
| 1891270989 | Alma Diana Garza | Neurological Surgery | 1139 E Sonterra Blvd Ste 301, San Antonio, TX 78258-4348 | 2018-09-25 |
| 1861975922 | Neurosurgical Group of Texas, LLP | Neurological Surgery | 8731 Katy Fwy Ste 325, Houston, TX 77024-1703 | 2018-09-13 |
| 1508347998 | William T Mccullough Md Pa | Neurological Surgery | 1101 Raintree Cir Ste 12o, Allen, TX 75013-4922 | 2018-08-24 |
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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.