Organization
RED RIVER DIAGNOSTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DASILVA (MANAGER)
(903) 814-1558
Entity
Organization
Contact information
Practice address
5001 ROWLETT RD # 4, ROWLETT, TX 75088-3602
(972) 412-5299
(469) 453-3374
Mailing address
5001 ROWLETT RD # 4, ROWLETT, TX 75088-3602
(972) 412-5299
(469) 453-3374
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/01/2025
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