Organization
PRIME NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED SUMMAKIA MD (PRESIDENT)
(469) 323-8112
Entity
Organization
Contact information
Practice address
6800 N MACARTHUR BLVD, IRVING, TX 75039-2422
(972) 246-8563
(940) 243-0404
Mailing address
9607 VALLEY LAKE LN, IRVING, TX 75063-5014
(469) 323-8112
(940) 243-0404
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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