Provider Demographics
NPI:1215387154
Name:NEUROLOGIX, PLLC
Entity type:Organization
Organization Name:NEUROLOGIX, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMURTREY
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:972-665-8655
Mailing Address - Street 1:8105 RASOR BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0049
Mailing Address - Country:US
Mailing Address - Phone:972-665-8655
Mailing Address - Fax:
Practice Address - Street 1:8105 RASOR BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0049
Practice Address - Country:US
Practice Address - Phone:972-665-8655
Practice Address - Fax:888-586-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102020235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty