ADVANCED NEUROSCIENCE CLINIC, PA – NPI #1518003334
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

ADVANCED NEUROSCIENCE CLINIC, PA is a psychiatry & neurologist located in MIDLAND, TX. NPPES has assigned the NPI number 1518003334 to ADVANCED NEUROSCIENCE CLINIC, PA on January 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was last updated on Oct 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED NEUROSCIENCE CLINIC, PA below.

NPI Profile for
ADVANCED NEUROSCIENCE CLINIC, PA

NPI Number
1518003334
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED NEUROSCIENCE CLINIC, PA
Primary location
3400 ANDREWS HWY
MIDLAND, TX 79703-5100
Phone: (432) 570-9991 Fax: (432) 570-9998
Mailing address
PO BOX 4100
MIDLAND, TX 79704-4100
Phone: (432) 570-9991 Fax: (432) 570-9998
Organization Subpart
No
Authorized Official
MANOHER GURRU
OWNER
Phone: (432) 570-9991
Updated
Certification Date
Oct 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANCED NEUROSCIENCE CLINIC, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSTX0018HQ
medicaidTX149225801
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
TX M3833
2084S0012X
- Psychiatry & Neurology / Sleep Medicine
TX L2914
2084N0600X
- Psychiatry & Neurology / Clinical Neurophysiology
TX L2914

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.