Organization
BRAINHERTZ NEURODIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA COOKS (ADMINISTRATOR)
(469) 490-1270
Entity
Organization
Contact information
Practice address
1801 N HAMPTON RD STE 416, DESOTO, TX 75115-2420
(214) 437-1932
Mailing address
2700 WHISPERING OAKS CV, CEDAR HILL, TX 75104-8243
(214) 437-1932
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
05/03/2023
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