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Organization
BRAINWAVE DIAGNOSTIC LLC
Active
Organization
BRAINWAVE DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATIAS DAY (OWNER)
(844) 212-5321
Entity
Organization
Contact information
Practice address
7777 FOREST LN STE B416, DALLAS, TX 75230-2566
(844) 212-5321
Mailing address
PO BOX 6529, MCKINNEY, TX 75071-5114
(844) 212-5321
(214) 594-9559
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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