CLINICAL NEUROSCIENCE PA – NPI #1760459671
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.

CLINICAL NEUROSCIENCE PA is a psychiatry & neurologist located in FORT WORTH, TX. NPPES has assigned the NPI number 1760459671 to CLINICAL NEUROSCIENCE PA on March 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 3 years ago on May 15, 2023. 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 CLINICAL NEUROSCIENCE PA below.

NPI Profile for
CLINICAL NEUROSCIENCE PA

NPI Number
1760459671
Enumeration Date

(more than 20 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
CLINICAL NEUROSCIENCE PA
Primary location
1307 8TH AVE STE 608
FORT WORTH, TX 76104-4140
Phone: (817) 921-4191 Fax: (817) 926-6048
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERESA HERNANDEZ
ADMINISTRATOR
Phone: (817) 921-4191
Updated
Certification Date
May 15, 2023

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 CLINICAL NEUROSCIENCE 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
medicaidTX112880306
medicaidTX112880305
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

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.