Organization
EVOKE DIAGNOSTICS LLC
Active
Organization
EVOKE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG W BUNTING DC (OWNER)
(972) 401-1699
Entity
Organization
Contact information
Practice address
1104 W JEFFERSON BLVD, DALLAS, TX 75208-5175
(469) 361-1234
(972) 449-9185
Mailing address
391 LAS COLINAS BLVD E, SUITE 130504, IRVING, TX 75039-6291
(817) 696-7595
(972) 499-9185
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
AP129266
TX
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
Update your record
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