Organization
GLOBAL BRAIN CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HOLLINGSWORTH (OWNER)
(817) 328-3000
Entity
Organization
Contact information
Practice address
521 W SOUTHLAKE BLVD STE 150, SOUTHLAKE, TX 76092-6174
(817) 328-3000
(817) 290-1917
Mailing address
521 W SOUTHLAKE BLVD STE 150, SOUTHLAKE, TX 76092-6174
(817) 328-3000
(817) 290-1917
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/19/2017
Last updated
11/09/2021
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