Provider Demographics
NPI:1851624027
Name:NORTH TEXAS STROKE CENTER, PLLC
Entity Type:Organization
Organization Name:NORTH TEXAS STROKE CENTER, PLLC
Other - Org Name:DBA TEXAS STROKE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMITHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-401-9807
Mailing Address - Street 1:1600 COIT RD
Mailing Address - Street 2:SUITE #104
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075
Mailing Address - Country:US
Mailing Address - Phone:972-566-5411
Mailing Address - Fax:972-519-8337
Practice Address - Street 1:1600 COIT RD
Practice Address - Street 2:SUITE #104
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075
Practice Address - Country:US
Practice Address - Phone:972-566-5411
Practice Address - Fax:972-519-8337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-04
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A5555Medicare PIN