Organization
BK NEUROMONITORING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA FISHER (ENROLLMENT COMPLIANCE OFFICER)
(210) 598-4240
Entity
Organization
Contact information
Practice address
25 HIGHLAND PARK VILLAGE, SUITE 100 #566, DALLAS, TX 75205
(469) 283-0565
(210) 566-1330
Mailing address
25 HIGHLAND PARK VILLAGE, SUITE 100 #566, DALLAS, TX 75205
(469) 283-0565
(210) 566-1330
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
04/19/2017
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