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Organization

NEURO EMG PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA BAILEY (OFFICE MANAGER)
(972) 702-9310
Entity
Organization

Contact information

Practice address
13601 PRESTON RD, STE 625W, DALLAS, TX 75240-4911
(972) 702-9310
(972) 458-7111
Mailing address
PO BOX 797604, DALLAS, TX 75379-7604
(972) 702-9310
(972) 458-7111

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
G8700
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
K2530
TX
2084N0400X
Neurology Physician
D2622
TX
2084N0600X
Clinical Neurophysiology Physician
D0260
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0085GF
BCBS
TX
Enumeration date
09/13/2006
Last updated
09/11/2025
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