Organization
NEUROLOGICAL CLINIC OF TEXAS PA
Active
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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