Provider Demographics
NPI:1205210101
Name:TEXAS CENTER FOR NEUROLOGICAL HEALTH
Entity Type:Organization
Organization Name:TEXAS CENTER FOR NEUROLOGICAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:VOIERS
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-701-0231
Mailing Address - Street 1:7522 CAMPBELL RD
Mailing Address - Street 2:STE 113-269
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1784
Mailing Address - Country:US
Mailing Address - Phone:972-701-0231
Mailing Address - Fax:214-853-9442
Practice Address - Street 1:15950 DALLAS PKWY
Practice Address - Street 2:SOUTH TOWER, SUITE 480
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-6615
Practice Address - Country:US
Practice Address - Phone:972-701-0231
Practice Address - Fax:214-853-9442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP97212084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty