<Unavail>
LBN: Advanced Neuroscience Clinic, Pa
<Unavail> is an health care organization with primary practice located at 601 E 2Nd St Ste E , Odessa TX 79761-5435. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Sleep Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Advanced Neuroscience Clinic, Pa can be contacted via phone (432) 570-9991, or through Haggerton, Chad via phone (432) 687-6203.
Contact Information
Primary practice address
601 E 2Nd St Ste E
Odessa TX 79761-5435
Phone: (432) 570-9991
Fax: (432) 687-6299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | L2914 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | M3833 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | L2914 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | M3833 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | L2914 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA04008 | Texas |
Profile Details
| NPI number | 1104954049 |
|---|---|
| LBN Legal business name | Advanced Neuroscience Clinic, Pa |
| DBA Doing business as | <Unavail> |
| Authorized official | Haggerton, Chad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Oct 8th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104954049 | NPPES |
| Texas | MEDICAID | 149225801 | |
| Texas | Other | 0018HQ |
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