Organization
NEUROVATIVE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DARREL WAX (CEO)
(214) 802-1078
Entity
Organization
Contact information
Practice address
16800 DALLAS PKWY STE 175, DALLAS, TX 75248-1941
(972) 361-8040
Mailing address
16800 DALLAS PKWY STE 175, DALLAS, TX 75248-1941
(972) 361-8040
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
01/25/2023
About Stedi
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