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Organization

NEUROTECHNOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NOLAN BRUCE JENEVEIN MD (PRESIDENT)
(214) 738-4961
Entity
Organization

Contact information

Practice address
6127 LUTHER LN # 472, DALLAS, TX 75225-6202
(214) 536-1647
(214) 580-7600
Mailing address
6127 LUTHER LN # 472, DALLAS, TX 75225-6202
(214) 536-1647
(214) 580-7600

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary

Other

Enumeration date
03/12/2015
Last updated
03/12/2015
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