INTEGRATED NEUROLOGY AND NEUROPHYSIOLOGY OF NORTH TEXAS (NPI# 1720609811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720609811 |
| Entity Type | Organization |
| Organization Name | INTEGRATED NEUROLOGY AND NEUROPHYSIOLOGY OF NORTH TEXAS |
| Practice Address |
521 W Southlake Blvd Ste 100 Southlake TX 76092-6173 |
| Mailing Address |
120 E Fm 544 Ste 72 Murphy TX 75094-4035 |
| Practice Telephone | 8173283000 |
| Practice Fax Number | 8273283333 |
| Mailing Telephone | 9724220140 |
| Mailing Fax Number | 9724220140 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | DR. JOSEPH K VAUGHAN JR. (NEUROLOGIST) |
| Authorized Official Telephone | 9725206535 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MR | 1700873627 | 01 |
| Other Name | Type Code |
|---|---|
| IN3T | Other Name - Individual/Organization |
| Street Address |
521 W SOUTHLAKE BLVD STE 100 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386188738 | Global Brain Center Uddin Pllc | Clinic/Center | 521 W Southlake Blvd Ste 100, Southlake, TX 76092-6173 | 2016-12-05 |
| 1992291587 | Brooke Hessling | Nurse Practitioner | 521 W Southlake Blvd Ste 100, Southlake, TX 76092 | 2018-07-06 |
| 1568982148 | Global Brain Eeg | Physiological Laboratory | 521 W Southlake Blvd Ste 100, Southlake, TX 76092-6173 | 2017-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376602144 | Asher S. Imam | Psychiatry & Neurology | 175 Stonebridge Ln Ste 100, Southlake, TX 76092-0307 | 2006-12-07 |
| 1326152851 | Simon S Tan, Md Pa | Psychiatry & Neurology | 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 | 2006-08-19 |
| 1902878473 | Shailesh C Vora | Psychiatry & Neurology | 2508 Sam School Rd, Southlake, TX 76092-1492 | 2006-02-07 |
| 1750381125 | Joseph Steven Casaly | Psychiatry & Neurology | 109 River Oaks Dr Ste 150, Southlake, TX 76092-6764 | 2005-07-28 |
| 1538513973 | Lindsey Anne Cunningham | Psychiatry & Neurology | 321 W Southlake Blvd, Suite 180, Southlake, TX 76092-6188 | 2016-04-22 |
| 1205244191 | Manos Monitoring, Pllc | Psychiatry & Neurology | 731 E Southlake Blvd Ste 170, Southlake, TX 76092-6382 | 2014-07-24 |
| 1437362480 | Southlake Neurology And | Psychiatry & Neurology | 175 Stonebridge Ln Ste 100, Southlake, TX 76092-0307 | 2007-05-07 |
| 1811001365 | Simon S Tan | Psychiatry & Neurology | 731 E Southlake Blvd, 170, Southlake, TX 76092-6377 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059230 | Alla Al-habib Md Pllc | Psychiatry & Neurology | 981 Sh 121, Suite 3100, Allen, TX 75013 | 2020-09-25 |
| 1427669712 | Nerve Track, Pllc | Psychiatry & Neurology | 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 | 2020-08-11 |
| 1013535020 | Pearland Neurology Services, Pllc | Psychiatry & Neurology | 11914 Astoria Blvd Ste 400, Houston, TX 77089-6049 | 2020-07-07 |
| 1881219384 | Pankhuri Banerjee | Psychiatry & Neurology | 301 University Blvd. -jsa 9.128, Galveston, TX 77555-0539 | 2020-06-10 |
| 1184247371 | Integris Neuro Group LLC | Psychiatry & Neurology | 2012 Justin Rd Ste 200-a, Highland Village, TX 75077-7193 | 2020-05-21 |
| 1265055685 | Schweta Parag Rane | Psychiatry & Neurology | 301 University Blvd. - Jsa9. 128, Galveston, TX 77555-0539 | 2020-05-20 |
| 1477175214 | Vijaya Lakshmi Valaparla | Psychiatry & Neurology | Utmb - Neurology - Jsa 9.128 - Rt. 0539, 301 University Blvd, Galveston, TX 77555-0539 | 2020-05-14 |
| 1548895386 | Robert William Bastien | Psychiatry & Neurology | 602 Catalina Cove Ln, La Marque, TX 77568-6577 | 2020-03-11 |
| 1740823772 | Epilepsy and Neurology Care Specialists Pllc | Psychiatry & Neurology | 2406 Stirling Ave, Edinburg, TX 78539-2706 | 2019-10-22 |
| 1235797226 | Apollo Monitoring Services, LLC | Psychiatry & Neurology | 1100 Glade Rd, Colleyville, TX 76034-4227 | 2019-06-04 |
| 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.