MEDICARE: THE MONITORING CENTER, INC

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	2084N0400X	Neurology Physician	G4347	TX

General Provider Information

NPI Number	:	1598952319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MONITORING CENTER, INC

Provider Business Mailing Address
First Line	:	3426 MILTON AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-1338
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3426 MILTON AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-1338
Country	:	US
Telephone Number	:	214-505-2339
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CORNELIUS MATWIJECKY
Credential	:	MD
Telephone Number	:	214-505-2339

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	09/25/2007

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