Organization
MBB NEUROMONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VILMA WHEELER CNIM (OWNER)
(281) 772-9023
Entity
Organization
Contact information
Practice address
5001 ROWLETT RD # 7, ROWLETT, TX 75088-3602
(972) 412-5299
(469) 453-3374
Mailing address
3526 LAKEVIEW PKWY # B132, ROWLETT, TX 75088-4176
(972) 412-5299
(469) 453-3374
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1207
R. EP T.
TX
01
—
2340
CNIM
TX
Enumeration date
06/13/2017
Last updated
09/27/2022
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