| Mississippi Neurodiagnostics, Llc | |
|
4600 Fuller Dr Ste 275 Irving TX 75038-6551 | |
| (469) 995-8416 | |
| Not Available |
| Full Name | Mississippi Neurodiagnostics, Llc |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 4600 Fuller Dr Ste 275, Irving, Texas |
| Authorized Official Name and Position | Conor Butts (PRESIDENT AND COO) |
| Authorized Official Contact | 4699958416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Neurodiagnostics, Llc 4545 Fuller Dr Ste 100 Irving TX 75038-6509 Ph: (469) 995-8416 | Mississippi Neurodiagnostics, Llc 4600 Fuller Dr Ste 275 Irving TX 75038-6551 Ph: (469) 995-8416 |
| NPI Number | 1942661277 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942661277 | NPI | - | NPPES |
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