Organization
NEUROLOGICAL CLINIC OF TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HARRISON HARVEY DO (VICE PRESIDENT)
(972) 707-8360
Entity
Organization
Contact information
Practice address
12221 MERIT DR, SUITE #350, DALLAS, TX 75251-2202
(972) 707-8360
(972) 707-8370
Mailing address
12221 MERIT DR, SUITE #350, DALLAS, TX 75251-2202
(972) 707-8360
(972) 707-8370
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112845601
—
TX
Enumeration date
08/03/2006
Last updated
07/06/2012
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