Provider Demographics
| NPI: | 1033742762 |
|---|---|
| Name: | NEURO CARE LLC |
| Entity type: | Organization |
| Organization Name: | NEURO CARE LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PHYSICIAN |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | FARID |
| Authorized Official - Middle Name: | UD |
| Authorized Official - Last Name: | DIN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 469-493-1964 |
| Mailing Address - Street 1: | 3600 NORTHSTAR RD STE 140 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | RICHARDSON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 75082-5309 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 469-493-1964 |
| Mailing Address - Fax: | 732-756-9138 |
| Practice Address - Street 1: | 318 W FM 544 STE B1 |
| Practice Address - Street 2: | |
| Practice Address - City: | MURPHY |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 75094-4652 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 469-493-1964 |
| Practice Address - Fax: | 732-756-9138 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-02-21 |
| Last Update Date: | 2023-11-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2084N0402X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology with Special Qualifications in Child Neurology | Group - Multi-Specialty |