MEDICARE: LEWISVILLE NEUROLOGY P.A.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982825683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEWISVILLE NEUROLOGY P.A.

Provider Business Mailing Address
First Line	:	3120 MEDPARK DR STE 100
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-6982
Country	:	US
Telephone Number	:	940-383-1770
Fax Number	:	940-566-2214

Provider Business Practice Location Address
First Line	:	3537 S I 35 E STE 112
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-6868
Country	:	US
Telephone Number	:	940-383-1770
Fax Number	:	940-566-2214

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JUDY K CAMP
Credential	:
Telephone Number	:	940-383-1776

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	03/18/2026

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Directions to “LEWISVILLE NEUROLOGY P.A. ” Practice Location

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