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General NPI Number Information
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NPI Number | 1306583521
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Entity Type | Organization
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Legal Business Name | NEURODOCTORS, PLLC
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 4770 N EXPRESSWAY 77/83 STE 204
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3107
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Country | US
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Telephone | 956-452-1882
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Fax | 956-435-9133
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Provider Business Mailing Address
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Address Line | 4770 N EXPRESSWAY 77/83 STE 204
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3107
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Country | US
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Telephone | 956-452-1882
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Fax | 956-435-9133
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIO A CERDAN-TREVINO
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Credential | MD
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Telephone | 956-452-1882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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