Astrocyte Management, Pllc | |
5575 Frisco Square Blvd Ste 110 Frisco TX 75034-3309 | |
(972) 591-5935 | |
Not Available |
Full Name | Astrocyte Management, Pllc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 5575 Frisco Square Blvd Ste 110, Frisco, Texas |
Authorized Official Name and Position | Rob Dickerman (PRESIDENT) |
Authorized Official Contact | 9722380512 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Astrocyte Management, Pllc 14983 Boaz Ln Lindale TX 75771-4801 Ph: (972) 786-6167 | Astrocyte Management, Pllc 5575 Frisco Square Blvd Ste 110 Frisco TX 75034-3309 Ph: (972) 591-5935 |
NPI Number | 1710349287 |
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Provider Enumeration Date | 03/24/2016 |
Last Update Date | 12/28/2022 |
Certification Date | 12/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710349287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
246ZE0600X | Specialist/technologist, Other - Electroneurodiagnostic | (* (Not Available)) | Secondary |
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