Provider Demographics
NPI:1811777824
Name:PINNACLE NEUROLOGY PLLC
Entity type:Organization
Organization Name:PINNACLE NEUROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFREE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-447-6282
Mailing Address - Street 1:4757 W PARK BLVD STE 113-1244
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-2329
Mailing Address - Country:US
Mailing Address - Phone:469-666-0184
Mailing Address - Fax:
Practice Address - Street 1:1600 COIT RD STE 208
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6172
Practice Address - Country:US
Practice Address - Phone:469-666-0184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty