| Alliance Neurodiagnostics, Llc | |
|
4545 Fuller Dr Ste 100 Irving TX 75038-6509 | |
| (469) 208-3799 | |
| (866) 279-4704 |
| Full Name | Alliance Neurodiagnostics, Llc |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 4545 Fuller Dr Ste 100, Irving, Texas |
| Authorized Official Name and Position | Charles Alvarez (CEO) |
| Authorized Official Contact | 4699958416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Neurodiagnostics, Llc 4545 Fuller Dr Ste 100 Irving TX 75038-6509 Ph: (469) 995-8416 | Alliance Neurodiagnostics, Llc 4545 Fuller Dr Ste 100 Irving TX 75038-6509 Ph: (469) 208-3799 |
| NPI Number | 1912318445 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 01/11/2021 |
| Medicare PECOS PAC ID | 9638482227 |
|---|---|
| Medicare Enrollment ID | O20150727000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912318445 | NPI | - | NPPES |
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