Provider Demographics
NPI:1780919332
Name:EAST DALLAS NEUROLOGICAL SERVICES
Entity type:Organization
Organization Name:EAST DALLAS NEUROLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:M
Authorized Official - Last Name:TORABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-677-7157
Mailing Address - Street 1:2540 NORTH GALLOWAY AVENUE
Mailing Address - Street 2:105
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4897
Mailing Address - Country:US
Mailing Address - Phone:972-677-7157
Mailing Address - Fax:972-677-7029
Practice Address - Street 1:2540 NORTH GALLOWAY AVENUE
Practice Address - Street 2:105
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4897
Practice Address - Country:US
Practice Address - Phone:972-677-7157
Practice Address - Fax:972-677-7029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN33542084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty