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Organization

COWTOWN HEADACHE CENTER AND NEURODIAGNOSTICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER JOSEPH O'CARROLL III MD (OWNER)
(817) 894-0195
Entity
Organization

Contact information

Practice address
1200 MEDICAL PLAZA CT, GRANBURY, TX 76048-5653
(817) 592-8427
(833) 630-0542
Mailing address
7001 TRAIL BLUFF CT, GRANBURY, TX 76048-6668
(817) 894-0195

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2084N0600X
Clinical Neurophysiology Physician

Other

Enumeration date
04/10/2025
Last updated
04/14/2025
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