MEDICARE: NORTH TEXAS MOVEMENT DISORDERS INSTITUTE, INC

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	L2694	TX

General Provider Information

NPI Number	:	1689985038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH TEXAS MOVEMENT DISORDERS INSTITUTE, INC

Provider Business Mailing Address
First Line	:	621 PALO DURO DR
Second Line	:
City	:	HURST
State	:	TX
Zip	:	76054-6009
Country	:	US
Telephone Number	:	817-886-0369
Fax Number	:	817-268-9011

Provider Business Practice Location Address
First Line	:	4931 LONG PRAIRIE RD STE 100
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-2787
Country	:	US
Telephone Number	:	817-886-0369
Fax Number	:	817-268-9011

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MADHAVI THOMAS
Credential	:	MD
Telephone Number	:	817-886-0369

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	06/07/2022

Similar Medicare Providers

1578539839 — DR. ERIC CHRISTIAN DREW M.D.
Practice Location Address:

4931 LONG PRAIRIE RD , STE 100
FLOWER MOUND, TX
75028-2787

Practice Phone: 972-420-9200
Practice Fax: 972-436-4088

1750550778 — KUNIK HEALTH, PA
Practice Location Address:

2281 OLYMPIA DR STE 100
FLOWER MOUND, TX
75028-1857

Practice Phone: 469-322-0089
Practice Fax: 972-852-7963

1831176221 — MANOJ K PATEL MD
Practice Location Address:

2281 OLYMPIA DR , STE 100
FLOWER MOUND, TX
75028-1857

Practice Phone: 469-322-0089
Practice Fax: 972-852-7963

1790885978 — MERCY HOSPICE, LTD
Practice Location Address:

2281 OLYMPIA DR STE 100
FLOWER MOUND, TX
75028-1857

Practice Phone: 972-459-9992
Practice Fax: 972-459-9911

1952235335 — PATHWAYS4SUCCESS LLC
Practice Location Address:

2212 SULLENBERGER WAY
FLOWER MOUND, TX
75028-4646

Practice Phone: 440-732-8686
Practice Fax:

1487077723 — LISA ROUGRAFF LACORE P.A.-C
Practice Location Address:

4400 LONG PRAIRIE RD
FLOWER MOUND, TX
75028-1892

Practice Phone: 469-322-7609
Practice Fax:

Directions to “NORTH TEXAS MOVEMENT DISORDERS INSTITUTE, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.