Healthcare Provider Details

I. General information

NPI: 1598420176
Provider Name (Legal Business Name): NORTH TEXAS NEUROLOGY ALLIANCE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1722 9TH ST
WICHITA FALLS TX
76301-5003
US

IV. Provider business mailing address

1722 9TH ST
WICHITA FALLS TX
76301-5003
US

V. Phone/Fax

Practice location:
  • Phone: 940-322-1075
  • Fax: 940-322-8215
Mailing address:
  • Phone: 940-322-1075
  • Fax: 888-326-2389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JANET WELLS
Title or Position: ADMINISTRATOR
Credential:
Phone: 940-716-1620