Southlake Neurology And is a Neurology Clinic in Southlake, Texas. It is located at 175 Stonebridge Ln Ste 100, Southlake, TX and its contact number is 817-421-2905. The authorized person for Southlake Neurology And is Dr. Asher S. Imam
who is President of the clinic and his/her contact number is 817-421-2905.
Southlake Neurology And Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
Southlake Neurology And Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southlake Neurology And |
| Specialization: | Neurology |
| Clinic Address: | 175 Stonebridge Ln Ste 100, Southlake,
Texas, 76092-0307 |
| Phone: | 817-421-2905 |
| Fax: | 817-431-6459 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Asher S. Imam |
| Position: | President |
| Contact Number: | 817-421-2905 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southlake Neurology And clinic are as mentioned below.
| NPI Number: | 1437362480 |
| NPI Enumeration Date: | 07 May, 2007 |
| NPI Last Update On: | 28 Sep, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southlake Neurology And are as mentioned below.
| Specialization | License Number | State | Status | |
| Neurology | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10582985 | Other | | Caqh Id |
| K9573 | Other | Texas | Texas License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southlake Neurology And
175 Stonebridge Ln Ste 100,
Southlake, Texas |
| Zip: | 76092-0307 |
| Phone Number: | 817-421-2905 |
| Fax Number: | 817-431-6459 |
Patients can reach Southlake Neurology And at
175 Stonebridge Ln Ste 100, Southlake, Texas or can
call to book an appointment on 817-421-2905.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.