MEDICARE: NEURODOCS PLLC

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	:	1801383187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURODOCS PLLC

Provider Business Mailing Address
First Line	:	PO BOX 940032
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75094-0032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1029 LONG PRAIRIE RD STE D
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4344
Country	:	US
Telephone Number	:	817-240-0012
Fax Number	:	972-724-2111

Authorized Official
Title or Position	:	CEO
Name	:	AMIR AKHTER
Credential	:
Telephone Number	:	502-256-1534

Provider Enumeration Date	:	04/23/2018
Last Update Date	:	04/23/2018

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