| Allied Neurodiagnostic Services Llc | |
|
1722 9th St Ste 150 Wichita Falls TX 76301-5003 | |
| (520) 335-8685 | |
| Not Available |
| Full Name | Allied Neurodiagnostic Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1722 9th St Ste 150, Wichita Falls, Texas |
| Authorized Official Name and Position | Martha Sutton (BUSINESS MANAGER) |
| Authorized Official Contact | 5202264338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Neurodiagnostic Services Llc 77 Calle Portal Suite B260a Sierra Vista AZ 85635-2967 Ph: (520) 226-4338 | Allied Neurodiagnostic Services Llc 1722 9th St Ste 150 Wichita Falls TX 76301-5003 Ph: (520) 335-8685 |
| NPI Number | 1225396856 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Medicare PECOS PAC ID | 7911158514 |
|---|---|
| Medicare Enrollment ID | O20121107000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225396856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| Provider Name | Danny R Bartel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679535843 PECOS PAC ID: 5799693313 Enrollment ID: I20040519001142 |
| Provider Name | Marlene R Ermis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306492145 PECOS PAC ID: 5698107969 Enrollment ID: I20191107002581 |
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