Organization
PRICO HEALTH LLC
Active
Other names
ION Neuro-Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEHAN C PROVIDENZA MBA (CEO)
(817) 297-8446
Entity
Organization
Contact information
Practice address
787 E FM 1187 STE C, CROWLEY, TX 76036-4357
(817) 297-8446
(866) 693-2857
Mailing address
787 E FM 1187 STE C, CROWLEY, TX 76036-4357
(817) 297-8446
(866) 693-2857
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
TX
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
TX
293D00000X
Physiological Laboratory
Primary
—
TX
Other
Enumeration date
03/08/2012
Last updated
01/16/2018
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