WESLEY NEUROLOGY CLINIC PC; NPI #1437101821

Contact Information

WESLEY NEUROLOGY CLINIC PC

1211 UNION AVE
STE 400
MEMPHIS, TN 38104

Phone: 901-725-8920
Fax: 901-725-8936
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Neurology	2084N0400X	13	Physician/Neurology

Indicates primary specialty

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NPI Profile & details for WESLEY NEUROLOGY CLINIC PC

NPI Number 1437101821

LBN Legal business name WESLEY NEUROLOGY CLINIC PC

Authorized official JAMES LUCAS - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/16/2006

Last updated 09/26/2008 - About 18 years ago

Identifiers

AR	Medicaid	122543002
MS	Medicaid	09013571
TN	Medicaid	3703205

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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