Organization
NEUROSYM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON LANE BOURQUE MBA (PRESIDENT)
(972) 971-6161
Entity
Organization
Contact information
Practice address
8408 BROWN STONE LN, FRISCO, TX 75034-6277
(972) 971-6161
Mailing address
8408 BROWN STONE LN, FRISCO, TX 75034-6277
(972) 971-6161
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/17/2011
Last updated
05/17/2011
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