# TEXESSEE NEURO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306129176
- **Authorized official:** DR. MATTHEW P RUPERT MD (MEMBER MANAGER)
- **Authorized official phone:** (214) 261-3600

## Contact information

- **Practice address:** 100 COVEY DR, SUITE 103, FRANKLIN, TN 37067-5665
- **Practice address phone:** (615) 916-1207
- **Mailing address:** 10740 N CENTRAL EXPY, DALLAS, TX 75231-2161
- **Mailing address phone:** (214) 261-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2011
- **Last updated:** 09/27/2011