Organization
PHYMED NEUROMONITORING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY WAYNE EAST DO (OWNER)
(214) 505-0833
Entity
Organization
Contact information
Practice address
16633 DALLAS PKWY STE 125, ADDISON, TX 75001-6816
(214) 666-8386
(214) 666-8486
Mailing address
16633 DALLAS PKWY STE 125, ADDISON, TX 75001-6816
(214) 666-8386
(214) 666-8486
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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