Organization
GREENVILLE NEUROLOGY ASSOC, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMIM ATA (OFFICE MANAGER)
(214) 618-0808
Entity
Organization
Contact information
Practice address
5550 WARREN PKWY STE 100, FRISCO, TX 75034-7399
(214) 618-0808
(469) 200-8097
Mailing address
4501 JOE RAMSEY BLVD E STE 200, GREENVILLE, TX 75401-7842
(903) 450-8122
(903) 454-2785
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
K7981
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1767444
—
TX
Enumeration date
10/10/2007
Last updated
09/28/2021
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