MEDICARE: TEXAS PARKINSON AND MOVEMENT DISORDERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1306202635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS PARKINSON AND MOVEMENT DISORDERS

Provider Business Mailing Address
First Line	:	8220 WALNUT HILL LN STE 516
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4433
Country	:	US
Telephone Number	:	469-994-1817
Fax Number	:	214-593-3092

Provider Business Practice Location Address
First Line	:	8220 WALNUT HILL LN STE 516
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4433
Country	:	US
Telephone Number	:	469-994-1817
Fax Number	:	469-444-6054

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. AANCHAL TANEJA
Credential	:	MD
Telephone Number	:	469-994-1817

Provider Enumeration Date	:	12/31/2015
Last Update Date	:	01/12/2021

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