Provider Demographics
NPI:1275389413
Name:NTX NEUROPSYCHOLOGY
Entity Type:Organization
Organization Name:NTX NEUROPSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-814-4055
Mailing Address - Street 1:5055 W PARK BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-2590
Mailing Address - Country:US
Mailing Address - Phone:214-814-4055
Mailing Address - Fax:469-409-0371
Practice Address - Street 1:5055 W PARK BLVD STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-2590
Practice Address - Country:US
Practice Address - Phone:214-814-4055
Practice Address - Fax:469-409-0371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty