Organization
APPLIED NEUROPHYSIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOLAN BRUCE JENEVEIN MD (PRESIDENT)
(214) 738-4961
Entity
Organization
Contact information
Practice address
4025 STANFORD AVE, DALLAS, TX 75225-7006
(214) 536-1647
(214) 580-7600
Mailing address
6127 LUTHER LN # 492, DALLAS, TX 75225-6202
(214) 536-1647
(214) 580-7600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H2492
TX
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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