Organization
PLATINUM NEURO DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A THIRY DC (OWNER/PROVIDER)
(409) 833-9505
Entity
Organization
Contact information
Practice address
5535 MEMORIAL DR, SUITE F #414, HOUSTON, TX 77007-8021
(409) 833-9505
(409) 833-9525
Mailing address
5535 MEMORIAL DR, SUITE F #414, HOUSTON, TX 77007-8021
(409) 833-9505
(409) 833-9525
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
6932
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
TX
Enumeration date
01/21/2009
Last updated
01/21/2009
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