MEDICARE: FUTURESEARCH TRIALS OF NEUROLOGY, LP

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	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1669626321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUTURESEARCH TRIALS OF NEUROLOGY, LP

Provider Business Mailing Address
First Line	:	4200 MARATHON BLVD
Second Line	:	SUITE 300
City	:	AUSTIN
State	:	TX
Zip	:	78756-3435
Country	:	US
Telephone Number	:	512-380-9195
Fax Number	:	512-374-9600

Provider Business Practice Location Address
First Line	:	4201 MARATHON BLVD
Second Line	:	STE. 202
City	:	AUSTIN
State	:	TX
Zip	:	78756-3436
Country	:	US
Telephone Number	:	512-380-9195
Fax Number	:	512-374-9600

Authorized Official
Title or Position	:	CEO
Name	:	DAVID MORRISON
Credential	:
Telephone Number	:	512-380-9925

Provider Enumeration Date	:	11/07/2008
Last Update Date	:	03/12/2009

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