Organization
PURE VUE DIAGNOSTICS LLC
Active
Other names
Pure Vue Diagnostics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA GILLIAM (VP OF BILLING AND CODING)
(972) 632-6877
Entity
Organization
Contact information
Practice address
2900 MARK DR, ARLINGTON, TX 76013-2013
(972) 632-6877
(888) 852-0154
Mailing address
2900 MARK DR, ARLINGTON, TX 76013-2013
(972) 632-6877
(888) 852-0154
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
12/20/2018
Last updated
09/23/2021
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