Healthcare Provider Details

I. General information

NPI: 1902274186
Provider Name (Legal Business Name): NEUROPATHY & PAIN CENTERS OF TEXAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2015
Last Update Date: 10/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 JOHNSON RD
KELLER TX
76248-3460
US

IV. Provider business mailing address

420 JOHNSON RD
KELLER TX
76248-3460
US

V. Phone/Fax

Practice location:
  • Phone: 817-431-8444
  • Fax: 817-431-1514
Mailing address:
  • Phone: 817-431-8444
  • Fax: 817-431-1514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON MEYER
Title or Position: OWNER
Credential: DC
Phone: 817-431-8444