Organization
CONWAY NEUROLOGY SPECIALTIES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAFFORD A CONWAY M.D. (PRESIDENT)
(903) 893-1758
Entity
Organization
Contact information
Practice address
2900 WELLINGTON DR, SHERMAN, TX 75092-5084
(903) 893-1758
Mailing address
2900 WELLINGTON DR, SHERMAN, TX 75092-5084
(903) 893-1758
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M7919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085608001
—
TX
Enumeration date
09/11/2008
Last updated
09/11/2008
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