| North Dallas Epilepsy, Pllc | |
|
4716 Ravendale Dr Richardson TX 75082-3835 | |
| (972) 860-9024 | |
| (972) 525-8845 |
| Full Name | North Dallas Epilepsy, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4716 Ravendale Dr, Richardson, Texas |
| Authorized Official Name and Position | Venkatesh Nagaraddi (MANAGING MEMBER) |
| Authorized Official Contact | 9728609024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Dallas Epilepsy, Pllc 4716 Ravendale Dr Richardson TX 75082-3835 Ph: (972) 860-9024 | North Dallas Epilepsy, Pllc 4716 Ravendale Dr Richardson TX 75082-3835 Ph: (972) 860-9024 |
| NPI Number | 1558719682 |
|---|---|
| Provider Enumeration Date | 05/31/2016 |
| Last Update Date | 02/11/2020 |
| Certification Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558719682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | M7461 (Texas) | Primary |
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