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Organization

GEORGETOWN NEUROLOGY PA

Active
Other names
The NeuroScience Center
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE CREEL MD (PRESIDENT)
(512) 259-8880
Entity
Organization

Contact information

Practice address
11901 W PARMER LN, STE 300, CEDAR PARK, TX 78613-7654
(512) 259-8880
(512) 259-6555
Mailing address
PO BOX 819, GEORGETOWN, TX 78627-0819
(512) 259-8880
(512) 259-6555

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H9870
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00683R
BCBS
TX
05
152087601
TX
Enumeration date
12/05/2007
Last updated
08/28/2008
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