Provider Demographics
NPI:1003226267
Name:NEUROWELLNESS PLLC
Entity Type:Organization
Organization Name:NEUROWELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:BARSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:512-464-1222
Mailing Address - Street 1:1779 WELLS BRANCH PKWY
Mailing Address - Street 2:110B
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-7090
Mailing Address - Country:US
Mailing Address - Phone:512-810-8948
Mailing Address - Fax:
Practice Address - Street 1:1779 WELLS BRANCH PKWY
Practice Address - Street 2:110B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-7090
Practice Address - Country:US
Practice Address - Phone:512-810-8948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN06342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty