Organization
GALEN NEURODIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT LEE GODBY (PRINCIPAL/OWNER)
(512) 653-3459
Entity
Organization
Contact information
Practice address
901 W 38TH ST STE 101, AUSTIN, TX 78705-1164
(512) 992-0027
Mailing address
PO BOX 90421, AUSTIN, TX 78709-0421
(512) 653-3459
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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