MEDICARE: HEALING HEADACHES, 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	P3614	TX

General Provider Information

NPI Number	:	1871005561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HEADACHES, PLLC

Provider Business Mailing Address
First Line	:	106 OLYMPIA LN
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-5071
Country	:	US
Telephone Number	:	201-424-8440
Fax Number	:	972-552-7447

Provider Business Practice Location Address
First Line	:	125 W STATE HIGHWAY 121 STE 100
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-7987
Country	:	US
Telephone Number	:	972-564-0352
Fax Number	:	972-552-7447

Authorized Official
Title or Position	:	PHYSICIAN/PRESIDENT
Name	:	DR. PRIYANKA CHAUDHRY
Credential	:	MD
Telephone Number	:	201-424-8440

Provider Enumeration Date	:	11/02/2017
Last Update Date	:	02/03/2026

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