Organization
NEURODIAGNOSTIC TEX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE BOLDERY (PRESIDENT/CEO)
(903) 534-0809
Entity
Organization
Contact information
Practice address
1356 OLD CREEK DR, TYLER, TX 75703-7642
(903) 534-0809
(903) 939-9149
Mailing address
PO BOX 1455, WHITEHOUSE, TX 75791-1455
(903) 534-0809
(903) 939-9149
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
09/04/2024
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