Clinical Neuroscience Pa

LBN: Clinical Neuroscience Pa
Clinical Neuroscience Pa is an health care organization with primary practice located at 1307 8Th Ave Ste 608 , Fort Worth TX 76104-4140. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Clinical Neuroscience Pa can be contacted via phone (817) 921-4191, or through Hernandez, Teresa R via phone (817) 921-4191.

Contact Information

Primary practice address
1307 8Th Ave Ste 608 Fort Worth TX 76104-4140
Phone: (817) 921-4191
Fax: (817) 926-6048
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Teresa R
Phone: (817) 921-4191

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X Texas

Profile Details

NPI number 1760459671
LBN Legal business name Clinical Neuroscience Pa
DBA Doing business as
Authorized official Hernandez, Teresa R
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2006
Last updated May 15th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760459671 NPPES
Texas MEDICAID 112880305
Texas MEDICAID 112880306

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