SOUL RICH, LLC (NPI# 1295275725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295275725 |
| Entity Type | Organization |
| Organization Name | SOUL RICH, LLC |
| Practice Address |
17742 Preston Rd Dallas TX 75252-6199 |
| Practice Telephone | 2143967827 |
| Mailing Telephone | 2143967827 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2018-03-26 |
| Authorized Official Name | DUSTIN RAY (MANAGER) |
| Authorized Official Telephone | 2143967827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SOUL RICH, LLC | 9416 109th Street, South Richmond Hill, Ny 11419 |
| Street Address |
17742 PRESTON RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75252-6199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780637298 | Cpr and R LLC | Physical Medicine & Rehabilitation | 17742 Preston Rd, Dallas, TX 75252-6199 | 2006-05-18 |
| 1528560364 | Pain Management of Coppell | Anesthesiology | 17742 Preston Rd, Dallas, TX 75252 | 2018-03-07 |
| 1487165270 | Peng Yu | Specialist/Technologist, Other | 17742 Preston Rd, Dallas, TX 75252-6199 | 2017-10-19 |
| 1366953176 | Gabriel Contravious Goodwin | Specialist/Technologist, Other | 17742 Preston Rd, Dallas, TX 75252-6199 | 2017-10-19 |
| 1477064392 | Alejandro Mignucci | Specialist/Technologist, Other | 17742 Preston Rd, Dallas, TX 75252-6199 | 2017-10-18 |
| 1093226912 | Nguyen Cao | Specialist/Technologist, Other | 17742 Preston Rd, Dallas, TX 75252-6199 | 2017-10-18 |
| 1033620984 | Lakshmi Tanuja Velamuri | Specialist/Technologist, Other | 17742 Preston Rd, Dallas, TX 75252-6199 | 2017-10-18 |
| 1760993612 | Uladzimir Hardzeika | Specialist/Technologist, Other | 17742 Preston Rd, Dallas, TX 75252-6199 | 2017-10-18 |
| 1821533787 | Mmv Associates, Pllc | Psychiatry & Neurology | 17742 Preston Rd, Dallas, TX 75252-6199 | 2017-01-03 |
| 1811430879 | Infinity Laboratory Services, LLC | Clinical Medical Laboratory | 17742 Preston Rd, Suite 110, Dallas, TX 75252-6199 | 2016-11-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457914681 | Lashaun Nicole Mwangi | Counselor | 17740 Preston Rd., Suite 100-b, Dallas, TX 75252 | 2019-04-14 |
| 1699244921 | Naomi Silva | Counselor | 18208 Preston Rd. Ste D9-466, Dallas, TX 75252 | 2018-11-15 |
| 1134601560 | Douglas Wayne Barnes | Counselor | 17762 Preston Rd Suite 108, Dallas, TX 75252 | 2018-09-01 |
| 1528548260 | Rhejes Healthcare Services LLC | In Home Supportive Care | 19019 Preston Rd Apt 710, Dallas, TX 75252 | 2018-08-21 |
| 1447759212 | Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou | Clinic/Center | 17655 Waterview Parkway, Dallas, TX 75252 | 2018-02-07 |
| 1114436862 | Steven Wade Martin | Chiropractor | 17330 Preston Rd., Suite 150a, Dallas, TX 75252 | 2017-09-26 |
| 1053766568 | Helix Health LLC | Clinical Medical Laboratory | 17218 Preston Road, Suite #4200, Dallas, TX 75252 | 2016-05-03 |
| 1144619511 | Bay Crest LLC | Home Health | 18208 Preston Rd Ste 151, Dallas, TX 75252 | 2015-01-22 |
| 1255720579 | Damion P Davis | Counselor | 17210 Campbell Rd, #200, Dallas, TX 75252 | 2015-01-12 |
| 1891109435 | Pediatric Home Healthcare, LLC | Home Health | 17950 Preston Rd # 370, Dallas, TX 75252 | 2014-06-11 |
| Find all providers in zip 75252 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912307216 | Nerve & Cord Monitoring, Pllc | Psychiatry & Neurology | 5706 E Mockingbird Lane, Ste 115 #404, Dallas, TX 75206-5461 | 2014-08-25 |
| 1477960128 | Cushing Neuromonitoring, Pllc | Psychiatry & Neurology | 3824 Ceder Spring Road, #380, Dallas, TX 75219 | 2014-07-15 |
| 1427332154 | Richard Ralph North | Psychiatry & Neurology | 15350 Prestonwood Blvd, Apt 251, Dallas, TX 75248 | 2011-09-29 |
| 1821533787 | Mmv Associates, Pllc | Psychiatry & Neurology | 17742 Preston Rd, Dallas, TX 75252-6199 | 2017-01-03 |
| 1447543640 | Mohammad Khalid Md Pa | Psychiatry & Neurology | 5939 Harry Hines Blvd, 745, Dallas, TX 75235-6246 | 2011-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195307 | Quor Health Iom LLC | Psychiatry & Neurology | 950 Threadneedle St Ste 120, Houston, TX 77079-2903 | 2020-08-17 |
| 1811516503 | Onetwo Stars | Psychiatry & Neurology | 118 Broadway St Ste 221, San Antonio, TX 78205-2088 | 2020-04-13 |
| 1740832120 | Southwest Neurophysiology, Pllc | Psychiatry & Neurology | 800 W Arbrook Blvd Ste 340, Arlington, TX 76015-4317 | 2019-07-15 |
| 1902467640 | Advanced Neurophysiology Associates PC | Psychiatry & Neurology | 136 Eldridge Rd Ste A, Sugar Land, TX 77478-4646 | 2019-06-24 |
| 1750896973 | Velocity Neuro, LLC | Psychiatry & Neurology | 7555 Deerlodge Trl, Fort Worth, TX 76137-4138 | 2017-12-11 |
| 1316461304 | Cns Neueospinemonitoring Pllc | Psychiatry & Neurology | 26 E. Loftwood Cir, The Woodlands, TX 77382 | 2017-08-01 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1225421829 | Alamo City Neurodiagnostics, Pllc | Psychiatry & Neurology | 14439 Nw Military Highway, Ste 108 #301, San Antonio, TX 78231-1648 | 2015-03-06 |
| 1336562958 | Christopher Pierce | Psychiatry & Neurology | 1100 Glade Rd # 2, Colleyville, TX 76034 | 2014-02-03 |
| 1235497413 | Sadia Yasser Md Pa | Psychiatry & Neurology | 777 South Fry Road, Suite 108, Katy, TX 77450-2297 | 2012-04-25 |
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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.