Brazos Regional Neurology, PA
Psychiatry & Neurology, Neurology in Weatherford, TX. Organization (NPI-2).
NPI number1952616005
StatusActive
Last updated in NPPESFeb 25, 2021
Details
- NPI
- 1952616005
- Entity type
- Organization (NPI-2)
- Legal business name
- Brazos Regional Neurology, PA
- Organization subpart
- No
- Enumeration date
- Aug 13, 2010
- Certification date
- Feb 22, 2021
- Last updated
- Feb 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | N5736 | TX | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | N5736 | TX |
Practice location
150 Willow Creek Dr Ste 103Weatherford, TX 76085-3652
Phone 817-599-6387
Mailing address
150 Willow Creek Dr Ste 103Weatherford, TX 76085-3652
Phone 817-599-6387 · Fax 817-599-6378
Other practice locations
1212 Clear Lake Rd Ste 300
Weatherford, TX 76086-5879
Weatherford, TX 76086-5879
Phone 817-599-6387
Authorized official
Sheri A. Strunk
Owner
8175996387
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