THE BRAIN AND BODY HEALTH INSTITUTE, P.A.


Address: 3207 R R 620 South, Suite B, Lakeway, TX 78738-6872
Phone: 5129815801

THE BRAIN AND BODY HEALTH INSTITUTE, P.A. (NPI# 1679979223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679979223
Entity Type Organization
Organization Name THE BRAIN AND BODY HEALTH INSTITUTE, P.A.
Practice Address 3207 R R 620 South
Suite B
Lakeway
TX 78738-6872
Practice Telephone 5129815801
Practice Fax Number 5128576920
Mailing Telephone 5129815801
Mailing Fax Number 5128576920
Enumeration Date 2014-11-10
Last Update Date 2014-11-20
Authorized Official Name DR. ROBERT W VAN BOVEN (PRESIDENT/CEO)
Authorized Official Telephone 5129815801
Authorized Official Credential M.D., D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
P5901 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 3207 R R 620 SOUTH
SUITE B
City LAKEWAY
State TX
Zip Code 78738-6872

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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316000326 Robert W Vanboven Psychiatry & Neurology 3 Lakeway Centre Ct Ste 230, Lakeway, TX 78734-2795 2006-12-19
1770582058 Ronald Devere Psychiatry & Neurology 1200 Lakeway Dr Ste 8, Lakeway, TX 78734-4456 2005-07-19
1841559101 Lrmc Neurology, Inc. Psychiatry & Neurology 100 Medical Parkway, Lakeway, TX 78734 2012-05-08
1679831077 Matthew Blake Freeman Psychiatry & Neurology 200 Medical Pkwy, Lakeway, TX 78738-1792 2012-04-24
1699041772 Erica Maria Rivas Rodriguez Psychiatry & Neurology 200 Medical Pkwy Ste 110, Lakeway, TX 78738 2012-03-22
1821125204 Ronald Devere, Md Pa Psychiatry & Neurology 1200 Lakeway Dr Ste 8, Lakeway, TX 78734-4456 2007-02-27

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Competitor

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City LAKEWAY
Zip Code 78738

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Dataset Information

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.

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