NPI 1467652032

Southwest Neurology, PA

Organisation Specialist Rockwall, TX

Practice location

Address: 6701 Heritage Pkwy STE 110, Rockwall, TX 75087-8799
Phone: (972) 412-8700
Fax: (972) 412-9700

Authorised official

Name: Elizabeth M Mature
Title: Administrator
Phone: (972) 412-8700

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence J9378 (TX)

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Registry record

NPI: 1467652032
Entity type: Organization
NPI issued: 23 Jul 2007
Record last updated: 28 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.