Organization
BLACK WILLOW OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D RICHARD HENRY (CEO)
(214) 396-7227
Entity
Organization
Contact information
Practice address
6900 DALLAS PKWY, SUITE 800, PLANO, TX 75024-7144
(214) 396-7227
(469) 453-5192
Mailing address
6900 DALLAS PKWY, SUITE 800, PLANO, TX 75024-7144
(214) 396-7227
(469) 453-5192
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
03/29/2017
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