Provider Demographics
NPI:1982984001
Name:NORTH CENTRAL TEXAS ADVANCED NEUROLOGY PA
Entity type:Organization
Organization Name:NORTH CENTRAL TEXAS ADVANCED NEUROLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER M.D
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-626-8634
Mailing Address - Street 1:2351 SFM 51 SUITE 100
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3778
Mailing Address - Country:US
Mailing Address - Phone:940-626-8634
Mailing Address - Fax:940-626-8637
Practice Address - Street 1:2351 SFM 51 SUITE 100
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3778
Practice Address - Country:US
Practice Address - Phone:940-626-8634
Practice Address - Fax:940-626-8637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-20
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN635OtherTEXAS