Organization
NERVE CONDUCTION EVALUATION PC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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