Provider Demographics
NPI:1427162890
Name:DALLAS NEUROLOGICAL ASSOCIATES
Entity type:Organization
Organization Name:DALLAS NEUROLOGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:HARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-680-0477
Mailing Address - Street 1:375 MUNICIPAL DR
Mailing Address - Street 2:SUITE 222
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3624
Mailing Address - Country:US
Mailing Address - Phone:972-783-8900
Mailing Address - Fax:972-644-7926
Practice Address - Street 1:375 MUNICIPAL DR
Practice Address - Street 2:SUITE 222
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3624
Practice Address - Country:US
Practice Address - Phone:972-783-8900
Practice Address - Fax:972-644-7926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00F06EOtherBLUE CROSS
TX158542FAOtherPREFERRED CARE
TX158542FAOtherPREFERRED CARE
TXC16610Medicare UPIN
TXC20863Medicare UPIN