Provider Demographics
NPI:1265783237
Name:US NEURO SPECIALISTS PLLC
Entity type:Organization
Organization Name:US NEURO SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:KUMAR REDDY
Authorized Official - Last Name:THUMMALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-732-6102
Mailing Address - Street 1:3146 CLARKSVILLE ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-8002
Mailing Address - Country:US
Mailing Address - Phone:903-732-6102
Mailing Address - Fax:
Practice Address - Street 1:3146 CLARKSVILLE ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-8002
Practice Address - Country:US
Practice Address - Phone:903-732-6102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-01
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084N0400X
TXN9970261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty