MEDICARE: NEURO-PRO MONITORING

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	:	1215248026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO-PRO MONITORING

Provider Business Mailing Address
First Line	:	PO BOX 1288
Second Line	:
City	:	CROSBY
State	:	TX
Zip	:	77532-1288
Country	:	US
Telephone Number	:	281-462-1285
Fax Number	:	281-462-1554

Provider Business Practice Location Address
First Line	:	4300 SIGMA RD STE 120
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-4422
Country	:	US
Telephone Number	:	214-483-9933
Fax Number	:	214-483-9944

Authorized Official
Title or Position	:	PRINICPAL
Name	:	JASON PAPES
Credential	:
Telephone Number	:	214-483-9933

Provider Enumeration Date	:	06/25/2010
Last Update Date	:	03/29/2012

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Directions to “NEURO-PRO MONITORING ” Practice Location

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