Advanced Neuroscience Clinic, Pa
LBN: Advanced Neuroscience Clinic, Pa
Advanced Neuroscience Clinic, Pa is an health care organization with primary practice located at 3400 Andrews Hwy , Midland TX 79703-5100. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Sleep Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Advanced Neuroscience Clinic, Pa can be contacted via phone (432) 570-9991, or through Gurru, Manoher L. via phone (432) 570-9991.
Contact Information
Primary practice address
3400 Andrews Hwy
Midland TX 79703-5100
Phone: (432) 570-9991
Fax: (432) 570-9998
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | L2914 | Texas |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | M3833 | Texas |
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | L2914 | Texas |
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | M3833 | Texas |
Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | L2914 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04008 | Texas |
Profile Details
NPI number | 1518003334 |
---|---|
LBN Legal business name | Advanced Neuroscience Clinic, Pa |
DBA Doing business as | |
Authorized official | Gurru, Manoher L. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 29th, 2007 |
Last updated | Oct 17th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518003334 | NPPES |
Texas | Other | 0018HQ | BCBS |
Texas | MEDICAID | 149225801 | BCBS |
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