| Phymed Neuromonitoring Pllc | |
|
16633 Dallas Pkwy Ste 125 Addison TX 75001-6816 | |
| (214) 666-8386 | |
| (214) 666-8486 |
| Full Name | Phymed Neuromonitoring Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 16633 Dallas Pkwy Ste 125, Addison, Texas |
| Authorized Official Name and Position | Johnny Wayne East (OWNER) |
| Authorized Official Contact | 2145050833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phymed Neuromonitoring Pllc 16633 Dallas Pkwy Ste 125 Addison TX 75001-6816 Ph: (214) 666-8386 | Phymed Neuromonitoring Pllc 16633 Dallas Pkwy Ste 125 Addison TX 75001-6816 Ph: (214) 666-8386 |
| NPI Number | 1326610924 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 07/13/2021 |
| Certification Date | 07/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326610924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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