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Organization
NEURO MEDIX INC
Active
Organization
NEURO MEDIX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE NEWBURY (DIVISON MANAGER)
(281) 462-1285
Entity
Organization
Contact information
Practice address
9153 WAGNER RIVER CIR, FOUNTAIN VLY, CA 92708-6449
(281) 462-1285
Mailing address
PO BOX 1288, CROSBY, TX 77532-1288
(281) 462-1285
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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