Organization
SOUTHWEST NEUROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M MATURE (ADMINISTRATOR)
(972) 412-8700
Entity
Organization
Contact information
Practice address
6701 HERITAGE PKWY STE 110, ROCKWALL, TX 75087-8799
(972) 412-8700
(972) 412-9700
Mailing address
6701 HERITAGE PKWY STE 110, ROCKWALL, TX 75087-8799
(972) 412-8700
(972) 412-9700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J9378
TX
Other
Enumeration date
07/23/2007
Last updated
09/28/2010
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