Organization
GREATER COLLIN COUNTY NEURO SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA M SULLIVAN (BILLING MANAGER)
(903) 259-0550
Entity
Organization
Contact information
Practice address
111 BOLAND ST STE 211, FT WORTH, TX 76107-1265
(214) 269-3875
(903) 328-6568
Mailing address
906 W MCDERMOTT DR STE 116, ALLEN, TX 75013-5426
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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