Organization
GARLAND NEUROLOGICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOOD S AKHAVI MD (OWNER, PRESIDENT)
(972) 494-1100
Entity
Organization
Contact information
Practice address
315 N SHILOH RD, SUITE 103, GARLAND, TX 75042-6682
(972) 494-1100
(972) 494-4909
Mailing address
315 N SHILOH RD, SUITE 103, GARLAND, TX 75042-6682
(972) 494-1100
(972) 494-4909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172861001
—
TX
Enumeration date
09/29/2006
Last updated
06/02/2008
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