Wesley Neurology Clinic Pc

LBN: Wesley Neurology Clinic Pc
Wesley Neurology Clinic Pc is an health care organization with primary practice located at 1211 Union Ave Ste 400, Memphis TN 38104. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Wesley Neurology Clinic Pc can be contacted via phone (901) 725-8920, or through Lucas, James R via phone (901) 725-8920.

Contact Information

Primary practice address
1211 Union Ave Ste 400 Memphis TN 38104
Phone: (901) 725-8920
Fax: (901) 725-8936
Website:
Map and Directions
Authorized official contact:
Name: Lucas, James R
Phone: (901) 725-8920

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1437101821
LBN Legal business name Wesley Neurology Clinic Pc
DBA Doing business as
Authorized official Lucas, James R
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Sep 26th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437101821 NPPES
Tennessee MEDICAID 3703205
Tennessee MEDICAID 09013571
Tennessee MEDICAID 122543002

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