Healthcare Provider Details
I. General information
NPI: 1861891988
Provider Name (Legal Business Name): NORTH TX MONITORING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2014
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5005 W ROYAL LN SUITE 196
IRVING TX
75063-1959
US
IV. Provider business mailing address
PO BOX 205313
DALLAS TX
75320-5313
US
V. Phone/Fax
- Phone: 281-346-3480
- Fax: 832-581-4677
- Phone: 817-424-0971
- Fax: 888-413-9362
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0600X |
| Taxonomy | Clinical Neurophysiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFF
KROPHOLLER
Title or Position: DIRECTOR
Credential:
Phone: 281-346-3480