Organization
APPLIED INTRAOPERATIVE CARE TECHNOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE SHOUP COLLINS (PRACTICE ADMINISTRATOR)
(214) 536-1647
Entity
Organization
Contact information
Practice address
25 HIGHLAND PARK VLG # 100-469, DALLAS, TX 75205-2789
(214) 536-1647
(214) 580-7600
Mailing address
25 HIGHLAND PARK VLG # 100-469, DALLAS, TX 75205-2789
(214) 536-1647
(214) 580-7600
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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