Organization · Type 2 NPI
Mustang Neurodiagnostics, PLLC
Clinical Neurophysiology Physician · Addison, TX
Practice location
17051 Dallas Pkwy Suite 400
Addison, TX 75001
Mailing address
1141 N Loop 1604 E #105-612
San Antonio, TX 78232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | None listed |
| Neurology Physician | 2084N0400X | None listed |
| Clinical Neurophysiology Physician Primary | 2084N0600X | None listed |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | None listed |
Clinical Neurophysiology Physician: 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).
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About NPI 1780047852
Mustang Neurodiagnostics, PLLC's National Provider Identifier is 1780047852, issued on Apr 5, 2016. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Addison, TX. The record was last updated on Jul 19, 2022.