Organization
NERVE CONDUCTION EVALUATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSEL PACKARD MD (OWNER)
(888) 395-4007
Entity
Organization
Contact information
Practice address
308 FAY WAY DR, PALESTINE, TX 75801-4712
(888) 395-4007
(888) 395-3941
Mailing address
2600 N MILITARY TRL, SUITE 420, BOCA RATON, FL 33431-6312
(888) 395-4007
(888) 395-3941
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
L5082
TX
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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