DR. JANICE ELAINE BRUNSTROM-HERNANDEZ


Address: 7709 San Jacinto Place, Suite 203, Plano, TX 75024-3215
Phone: 4693310030

DR. JANICE ELAINE BRUNSTROM-HERNANDEZ (NPI# 1821014051) 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) 1821014051
Entity Type Individual
Full Name DR. JANICE ELAINE BRUNSTROM-HERNANDEZ
Credential M.D,
Practice Address 7709 San Jacinto Place
Suite 203
Plano
TX 75024-3215
Mailing Address Po Box 251665
Plano
TX 75025-1515
Practice Telephone 4693310030
Practice Fax Number 4693310031
Mailing Telephone 4693310030
Mailing Fax Number 4693310031
Enumeration Date 2006-07-14
Last Update Date 2015-04-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
M5074 TX Allopathic & Osteopathic Physicians
N 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
101182 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 339120301 05
MO 069010101 05

Office Location

Street Address 7709 SAN JACINTO PLACE
SUITE 203
City PLANO
State TX
Zip Code 75024-3215

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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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
1689953093 Child Neurology Clinics of Texas Psychiatry & Neurology 4032 Mcdermott Dr Ste 100, Plano, TX 75024 2011-08-16
1114217593 Andrew Wayne Hurd Psychiatry & Neurology 4032 Mcdermott Rd Ste 100, Plano, TX 75024-7739 2011-04-19
1235294695 Gerald Mendoza So Psychiatry & Neurology 4032 Mcdermott Rd, Ste. 100, Plano, TX 75024-7733 2006-12-26
1043371784 Saadat Ali Khan Psychiatry & Neurology 4001 W 15th St Ste 375, Plano, TX 75093-5864 2006-12-13
1629633490 Tcn Pediatric Neurology Pllc Psychiatry & Neurology 4032 Mcdermott Rd Ste 100, Plano, TX 75024-7739 2019-05-07
1003369224 Tcn Pediatric Neurology, Pllc Psychiatry & Neurology 4032 Mcdermott Rd, Suite 100, Plano, TX 75024-7733 2016-07-25
1497149595 Kendra Lee Williams Beneski Psychiatry & Neurology 4032 Mcdermott Rd Ste 100, Plano, TX 75024-7739 2015-03-26
1134520182 1 Cp Place Pllc Psychiatry & Neurology 7709 San Jacinto Pl, Suite 203, Plano, TX 75024-3215 2014-09-09
1073924502 North Dallas Neurology, Pllc Psychiatry & Neurology 4112 W 15th St, 100b, Plano, TX 75093-5862 2014-05-19
1144647264 Rachna Patel Psychiatry & Neurology 4032 Mcdermott Rd Ste 100, Plano, TX 75024 2014-03-26
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Competitor

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City PLANO
Zip Code 75024

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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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