Organization
TRINITY NEURODIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D. ANDERSON D.C. (OWNER)
(214) 460-0644
Entity
Organization
Contact information
Practice address
517 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-5484
(214) 460-0644
(972) 642-5183
Mailing address
517 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-5484
(214) 460-0644
(972) 642-5183
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/06/2007
Last updated
09/10/2019
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