Organization
DFW NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVANYA L NAGINENI MD (SOLE MEMBER)
(817) 292-0088
Entity
Organization
Contact information
Practice address
6800 HARRIS PKWY, SUITE 130, FORT WORTH, TX 76132-4240
(817) 292-0088
(855) 285-0906
Mailing address
6800 HARRIS PKWY, SUITE 130, FORT WORTH, TX 76132-4240
(817) 292-0088
(855) 285-0906
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M9524
TX
2085N0700X
Neuroradiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201059701
—
TX
Enumeration date
10/30/2008
Last updated
12/13/2022
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