FORT WORTH NEUROTECH, PA - NPI 1821240409

Q: What is Fort Worth Neurotech, PA's NPI number?

The NPI number for Fort Worth Neurotech, PA is 1821240409. It was assigned to this organization in the NPPES registry on October 15, 2008.

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About Fort Worth Neurotech, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT WORTH NEUROTECH, PA (NPI 1821240409) is a healthcare organization registered with NPPES in Dallas, Texas and active in the NPI registry since October 2008. The organization lists Trase Mahan, Manager, as its authorized official.

NPPES Registry Identity

NPI1821240409

Entity TypeOrganization

Primary Taxonomy246ZS0400X

Legal Business NameFORT WORTH NEUROTECH, PA

Location Address8409 PICKWICK LN # 175Dallas, TX 75225-5323

Mailing AddressPo Box 268996Oklahoma City, OK 73126-8996 · (214) 675-0905 · Fax (214) 317-4888

Phone(214) 675-0905

Fax(214) 317-4888

Organization SubpartNo

Authorized OfficialTrase MahanManager · (214) 675-0905

Enumeration DateOctober 15, 2008

Last NPPES UpdateAugust 10, 2009

✔ NPI 1821240409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty

Taxonomy Code246ZS0400X

8409 PICKWICK LN # 175, Dallas, TX 75225

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEXAS MONITORING GROUP, LLC