Individual provider · Type 1 NPI

George W. Whitehead Iv, CNIM

Electroneurodiagnostic Specialist/Technologist · Richardson, TX

NPI number 1124639638 Active

Practice location

1819 Jay Ell Dr
Richardson, TX 75081-2063

Call (888) 344-2947 Map

Fax (888) 694-2947

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600X1104

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1124639638

George W. Whitehead Iv, CNIM's National Provider Identifier is 1124639638, issued on Aug 10, 2020. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Richardson, TX. The record was last updated on Aug 10, 2020.