Organization
TCN PEDIATRIC NEUROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA KAY MARTIN (OFFICE MANAGER)
(972) 415-7000
Entity
Organization
Contact information
Practice address
4032 MCDERMOTT RD, SUITE 100, PLANO, TX 75024-7733
(972) 469-9000
(972) 769-0035
Mailing address
4032 MCDERMOTT RD, SUITE 100, PLANO, TX 75024-7733
(972) 469-9000
(972) 769-0035
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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