# ELECTROLOGY 3000 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639788391
- **Authorized official:** CHRISTINE D MCCAA (MANAGER)
- **Authorized official phone:** (972) 221-7268

## Contact information

- **Practice address:** 105 KATHRYN DR STE C, LEWISVILLE, TX 75067-4200
- **Practice address phone:** (972) 221-7268
- **Practice address fax:** (972) 221-7860
- **Mailing address:** 105 KATHRYN DR STE C, LEWISVILLE, TX 75067-4200
- **Mailing address phone:** (972) 221-7268
- **Mailing address fax:** (972) 221-7860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2020
- **Last updated:** 07/29/2020