Individual
MARCELO DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4610 KATY HOCKLEY CUT OFF RD, KATY, TX 77493-7838
(832) 962-9121
(832) 218-6416
Mailing address
4610 KATY HOCKLEY CUT OFF RD, KATY, TX 77493-7838
(832) 962-9121
(832) 218-6416
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
247200000X
Other Technician
—
—
2472E0500X
EEG Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-3286665
SYNERGY DIAGNOSTICS LLC
TX
Enumeration date
04/09/2015
Last updated
04/09/2015
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