Psychiatry & Neurology in FORT WORTH, TX
Last Updated on : Jul 08,2022
CDCC GROUP, PLLC is a Psychiatry & Neurology in FORT WORTH, United States with a focus in Clinical Neurophysiology .
1336817204 is NPI number of CDCC GROUP, PLLC.
CDCC GROUP, PLLC's primary taxonomy code based on NPI Lookup is 2084N0600X with license number . This taxonomy code refers to Psychiatry & Neurology.
CDCC GROUP, PLLC current practice location address is 420 THROCKMORTON ST STE 200, FORT WORTH, TX. CDCC GROUP, PLLC can be reached out via phone at 210-598-4277 .
You can also correspond with CDCC GROUP, PLLC through mail at mailing address 1141 N LOOP 1604 E #105-612, SAN ANTONIO, TX, United States. Mailing address contact number is 210-598-4277.
The enumeration date of CDCC GROUP, PLLC is 03-Sep-2021. The provider is registered as an Organization and the NPI record was last updated 1 years ago. The authorized official of CDCC GROUP, PLLC is ROXANNA LAROQUE (Director of Client Experience). ROXANNA LAROQUE can be reached at 2105982801.Basic NPI information of CDCC GROUP, PLLC (NPI 1336817204) is provided below.
Name | CDCC GROUP, PLLC |
---|---|
National Provider Id (NPI) | 1336817204 |
Entity Type | Organization |
Practice Address | 420 THROCKMORTON ST STE 200,
FORT WORTH, TX, United States |
Practice Telephone | 210-598-4277 |
Practice Fax Number | |
Mailing Address | 1141 N LOOP 1604 E #105-612 ,
SAN ANTONIO, TX, United States |
Mailing Telephone | 210-598-4277 |
Mailing Fax Number | |
Enumeration Date | 03-Sep-2021 |
Last Updated Date | 08-Jul-2022 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 2084N0600X | Psychiatry & Neurology, Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
N | 204R00000X | Electrodiagnostic Medicine | ||
N | 2084N0400X | Psychiatry & Neurology, Neurology | ||
N | 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic |
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---|---|---|---|---|
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23-Aug-2010 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1336817204 is the NPI number of CDCC GROUP, PLLC.
Where is CDCC GROUP, PLLC located?CDCC GROUP, PLLC is located at 420 THROCKMORTON ST STE 200, FORT WORTH, TX.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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