Organization
CONWAY NEUROLOGY SPECIALTIES, PA
Active
Organization
CONWAY NEUROLOGY SPECIALTIES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAFFORD AUSTIN CONWAY JR. M.D. (PRESIDENT)
(903) 328-8405
Entity
Organization
Contact information
Practice address
5004 POOL ROAD, DENISON, TX 75020-4595
(903) 548-6440
(903) 548-6441
Mailing address
5004 POOL ROAD, DENISON, TX 75020-4595
(903) 548-6440
(903) 548-6441
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25694
OK
2084N0400X
Neurology Physician
26931
AL
2084N0400X
Neurology Physician
Primary
M7919
TX
Other
Enumeration date
04/09/2009
Last updated
11/28/2011
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