Neurophysiology Professional Associates, Pllc | |
6116 N Central Expy Suite 1000 Dallas TX 75206-5162 | |
(214) 536-1647 | |
(214) 580-7600 |
Full Name | Neurophysiology Professional Associates, Pllc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 6116 N Central Expy, Dallas, Texas |
Authorized Official Name and Position | Nolan Bruce Jenevein (PRESIDENT) |
Authorized Official Contact | 2147384961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Neurophysiology Professional Associates, Pllc 6125 Luther Ln Suite 442 Dallas TX 75225-6202 Ph: (214) 536-1647 | Neurophysiology Professional Associates, Pllc 6116 N Central Expy Suite 1000 Dallas TX 75206-5162 Ph: (214) 536-1647 |
NPI Number | 1114318797 |
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Provider Enumeration Date | 02/18/2015 |
Last Update Date | 02/18/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114318797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | H2492 (Texas) | Primary |
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