# NEURO EMG PA

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

## Provider details

- **NPI number:** 1689779035
- **Authorized official:** PATRICIA BAILEY (OFFICE MANAGER)
- **Authorized official phone:** (972) 702-9310

## Contact information

- **Practice address:** 13601 PRESTON RD, STE 625W, DALLAS, TX 75240-4911
- **Practice address phone:** (972) 702-9310
- **Practice address fax:** (972) 458-7111
- **Mailing address:** PO BOX 797604, DALLAS, TX 75379-7604
- **Mailing address phone:** (972) 702-9310
- **Mailing address fax:** (972) 458-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | G8700 | TX | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | K2530 | TX | Yes |
| 2084N0400X | Neurology Physician | D2622 | TX | — |
| 2084N0600X | Clinical Neurophysiology Physician | D0260 | TX | — |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 09/11/2025