Organization
NEURO RESOURCE PC
Active
Parent organization
NEURO RESOURCE PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEURO RESOURCE PC
Authorized official
PAULO ACOSTA MD (OWNER)
(615) 868-0200
Entity
Organization
Contact information
Practice address
3443 DICKERSON PIKE STE 300, NASHVILLE, TN 37207-2523
(615) 868-0200
(615) 865-5999
Mailing address
3443 DICKERSON PIKE STE 300, NASHVILLE, TN 37207-2523
(615) 868-0200
(615) 865-5999
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
012943
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000950
BLUE CROSS BLUE SHIELD
TN
05
—
3184804
—
TN
Enumeration date
03/19/2007
Last updated
09/15/2011
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