Healthcare Provider Details

I. General information

NPI: 1609795301
Provider Name (Legal Business Name): NEUROLOGY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

456 N NEW BALLAS RD STE 266
SAINT LOUIS MO
63141-6842
US

IV. Provider business mailing address

456 N NEW BALLAS RD STE 266
SAINT LOUIS MO
63141-6842
US

V. Phone/Fax

Practice location:
  • Phone: 557-238-3900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROULA AL DAHHAK
Title or Position: OWNER
Credential:
Phone: 557-238-3900