Organization · Type 2 NPI

MD Neurodiagnostic MGT SVCS Inc

Neurology Physician · Lewisville, TX

NPI number 1114478849 Active

Practice location

2781 Ithaca Place
Lewisville, TX 75067

Fax (877) 705-3046

Mailing address

PO Box 297
Coppell, TX 75019

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XCA129953 (CA)
Clinical Neurophysiology Physician 2084N0600XME94218 (FL)

Neurology Physician: A Neurologist 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.

7 other providers at this address

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About NPI 1114478849

MD Neurodiagnostic MGT SVCS Inc's National Provider Identifier is 1114478849, issued on Oct 18, 2016. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Lewisville, TX. The record was last updated on Nov 15, 2024.