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Organization

NEUROLOGY SEIZURE & SLEEP CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HENRY G RAROQUE JR. MD (PRESIDENT)
(817) 424-5900
Entity
Organization

Contact information

Practice address
2020 W STATE HIGHWAY 114, SUITE 310, GRAPEVINE, TX 76051-8649
(817) 424-5900
(214) 496-0922
Mailing address
2020 W STATE HIGHWAY 114, SUITE 310, GRAPEVINE, TX 76051-8649
(817) 424-5900
(214) 496-0922

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
04/02/2007
Last updated
07/02/2008
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