Provider Demographics
NPI:1467785311
Name:NEUROBEMD, P.A.
Entity Type:Organization
Organization Name:NEUROBEMD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOWRIMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-692-1900
Mailing Address - Street 1:9900 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4395
Mailing Address - Country:US
Mailing Address - Phone:214-692-1900
Mailing Address - Fax:214-692-1911
Practice Address - Street 1:1400 W NORTHWEST HWY
Practice Address - Street 2:SUITE 200D
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-8116
Practice Address - Country:US
Practice Address - Phone:817-288-1310
Practice Address - Fax:817-288-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL50302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0022PVOtherBCBS
TXG35153Medicare UPIN