MEDICARE: FUTURESEARCH TRIALS OF NEUROLOGY

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	291U00000X	Clinical Medical Laboratory		TX

General Provider Information

NPI Number	:	1417076167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUTURESEARCH TRIALS OF NEUROLOGY

Provider Business Mailing Address
First Line	:	4200 MARATHON BLVD
Second Line	:	SUITE 310
City	:	AUSTIN
State	:	TX
Zip	:	78756-3435
Country	:	US
Telephone Number	:	512-380-9925
Fax Number	:	512-380-9935

Provider Business Practice Location Address
First Line	:	4200 MARATHON BLVD
Second Line	:	SUITE 310
City	:	AUSTIN
State	:	TX
Zip	:	78756-3435
Country	:	US
Telephone Number	:	512-380-9925
Fax Number	:	512-380-9935

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOHN DAVID MORRISON
Credential	:
Telephone Number	:	512-380-9925

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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