Individual
LESLIE EUGENE BRUMMETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EEG TECHNOLOGIST
Contact information
Practice address
713 GRAINGER ST, 203, FORT WORTH, TX 76104-3261
(817) 948-9488
(817) 336-7917
Mailing address
713 GRAINGER ST, 203, FORT WORTH, TX 76104-3261
(817) 948-9488
(817) 336-7917
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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