Provider Demographics
NPI:1306202635
Name:TEXAS PARKINSON AND MOVEMENT DISORDERS
Entity Type:Organization
Organization Name:TEXAS PARKINSON AND MOVEMENT DISORDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AANCHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:TANEJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-994-1817
Mailing Address - Street 1:8220 WALNUT HILL LN STE 516
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4433
Mailing Address - Country:US
Mailing Address - Phone:469-994-1817
Mailing Address - Fax:214-593-3092
Practice Address - Street 1:8220 WALNUT HILL LN STE 516
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4433
Practice Address - Country:US
Practice Address - Phone:469-994-1817
Practice Address - Fax:469-444-6054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-31
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty