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Organization

OMNI EEG LAB, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIAN TILLEMAN R. EEG T. (PRESIDENT)
(877) 334-5227
Entity
Organization

Contact information

Practice address
6162 E MOCKINGBIRD LN, SUITE 210A, DALLAS, TX 75214-2697
(877) 334-5227
(214) 550-8215
Mailing address
6162 E MOCKINGBIRD LN, SUITE 210A, DALLAS, TX 75214-2697
(877) 334-5227
(214) 550-8215

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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