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NPI Code Detail

MEDICARE: PRECISION NEURODIAGNOSTIC SERVICES, PLLC

MEDICARE: PRECISION NEURODIAGNOSTIC SERVICES, PLLC
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
1174400000XSpecialist

General Provider Information

NPI Number : 1821407198
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRECISION NEURODIAGNOSTIC SERVICES, PLLC
Provider Business Mailing Address
First Line : 5850 SAN FELIPE ST
Second Line : SUITE 500
City : HOUSTON
State : TX
Zip : 77057-3070
Country : US
Telephone Number : 214-295-6703
Fax Number :
Provider Business Practice Location Address
First Line : 5850 SAN FELIPE ST
Second Line : SUITE 500
City : HOUSTON
State : TX
Zip : 77057-3070
Country : US
Telephone Number : 214-295-6703
Fax Number :
Authorized Official
Title or Position : IONM MANAGER
Name : MRS. CATINA PARRISH
Credential :
Telephone Number : 214-295-6703
Provider Enumeration Date : 08/12/2014
Last Update Date : 05/12/2016

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