MEDICARE: ASCENDANT NEUROSTIMULATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1053541995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCENDANT NEUROSTIMULATION LLC

Provider Business Mailing Address
First Line	:	4925 GREENVILLE AVE
Second Line	:	#200
City	:	DALLAS
State	:	TX
Zip	:	75206-4026
Country	:	US
Telephone Number	:	214-261-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4925 GREENVILLE AVE
Second Line	:	#200
City	:	DALLAS
State	:	TX
Zip	:	75206-4026
Country	:	US
Telephone Number	:	214-261-3600
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. STEVEN GANSS
Credential	:
Telephone Number	:	214-906-7249

Provider Enumeration Date	:	07/24/2009
Last Update Date	:	07/24/2009

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