1205210101 NPI number — TEXAS CENTER FOR NEUROLOGICAL HEALTH

Table of content: DR. ALIX CHARLES JR. MD (NPI 1720600265)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205210101 NPI number — TEXAS CENTER FOR NEUROLOGICAL HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS CENTER FOR NEUROLOGICAL HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205210101
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/02/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7522 CAMPBELL RD
Provider Second Line Business Mailing Address:
STE 113-269
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75248-1784
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-701-0231
Provider Business Mailing Address Fax Number:
214-853-9442

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15950 DALLAS PKWY
Provider Second Line Business Practice Location Address:
SOUTH TOWER, SUITE 480
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75248-6615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-701-0231
Provider Business Practice Location Address Fax Number:
214-853-9442
Provider Enumeration Date:
07/10/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SCOTT
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
VOIERS
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
972-701-0231

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  P9721 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com