LONGVIEW NEUROLOGICAL CLINIC PLLC (NPI# 1225280704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225280704 |
| Entity Type | Organization |
| Organization Name | LONGVIEW NEUROLOGICAL CLINIC PLLC |
| Practice Address |
2441 E Us Highway 377 Suite 105 Granbury TX 76049-5991 |
| Practice Telephone | 9032350319 |
| Mailing Telephone | 9032350319 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2016-10-28 |
| Authorized Official Name | LIANA E DAWSON (OWNER/MANAGER) |
| Authorized Official Telephone | 9032350319 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
K0451 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2441 E US HIGHWAY 377 SUITE 105 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76049-5991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743802 | Debra Lynn Shearon | Nurse Practitioner | 3605 Pecan Arbor Ct, Granbury, TX 76049 | 2020-03-02 |
| 1841783255 | Adrienne Rhodes Montgomery | Dentist | 2600 James Rd Ste 100, Granbury, TX 76049 | 2018-06-11 |
| 1760920656 | Natalie Marie Alvarez | Occupational Therapist | 802 Rambling Ct, Granbury, TX 76049 | 2017-02-10 |
| 1982048948 | Luke A Chambless | Radiology | 5820 Long Drive, Granbury, TX 76049 | 2013-04-22 |
| 1053682732 | Mollie M Van Deusen | Counselor | 4425 E Hyw 377, Suite 116, Granbury, TX 76049 | 2012-01-26 |
| 1730469545 | Modern Dental Professionals Dallas/ft. Worth PC | Dentist | 3902 E. Us Highway 377, #100, Granbury, TX 76049 | 2011-08-24 |
| 1417242926 | H-e-b, Lp | Clinical Medical Laboratory | 3804 East Us Highway 377, Granbury, TX 76049 | 2011-06-13 |
| 1760502199 | Rebecca S. Shank Md Pa | Psychiatry & Neurology | 2003 Rockview Dr., Granbury, TX 76049 | 2007-03-30 |
| 1093843179 | Jason A Berry Dds Pa | Dentist | 2600 James Road, Ste #100, Granbury, TX 76049 | 2007-03-01 |
| 1265576516 | Darren Keith George | Family Medicine | 2003 Rockview Drive, Granbury, TX 76049 | 2007-02-19 |
| Find all providers in zip 76049 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508063900 | Vivek Hasmukh Tank | Psychiatry & Neurology | 5012 S Us Highway 75 Ste 230, Denison, TX 75020-4634 | 2007-06-29 |
| 1760698583 | Lorenzo Gustavo Blas | Psychiatry & Neurology | 25510 I-45 North, Suite 200, Spring, TX 77386 | 2007-05-16 |
| 1407925886 | Steven Warach | Psychiatry & Neurology | 1400 N. I35, Suite 300, Austin, TX 78701 | 2006-11-07 |
| 1013451038 | Heart of Texas Neurology and Sleep, Pllc | Psychiatry & Neurology | 3613 Williams Dr, Suite 1006, Georgetown, TX 78628-1377 | 2016-12-09 |
| 1831553668 | Kyna Naomi Schreiber | Psychiatry & Neurology | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2016-04-07 |
| 1881077857 | Charles Thomas Md Pa | Psychiatry & Neurology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2015-07-08 |
| 1326425281 | Shyam Panchal | Psychiatry & Neurology | 17183 Interstate 45 S Ste 690, Shenandoah, TX 77385-3317 | 2015-04-29 |
| 1043630080 | Christian Eduardo Cajavilca | Psychiatry & Neurology | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2014-04-17 |
| 1316367410 | Jason Neal | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-3726 | 2014-04-16 |
| 1043653801 | Arash Shadman | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-0001 | 2013-04-11 |
| Find all providers with the same taxonomy | ||||
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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.