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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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