Provider Demographics
NPI:1285355172
Name:NEUROLOGY AND NEUROMUSCULAR CARE CENTER INC
Entity type:Organization
Organization Name:NEUROLOGY AND NEUROMUSCULAR CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:P
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-837-2351
Mailing Address - Street 1:2817 S MAYHILL RD STE 115
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76208-5967
Mailing Address - Country:US
Mailing Address - Phone:972-634-2931
Mailing Address - Fax:
Practice Address - Street 1:2817 S MAYHILL RD STE 115
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208-5967
Practice Address - Country:US
Practice Address - Phone:972-634-2931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty