Organization
NEUROLOGIC PROTECTION SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
(210) 598-2801
Entity
Organization
Contact information
Practice address
6125 LUTHER LN #189, DALLAS, TX 75225-6202
(214) 612-6518
Mailing address
6125 LUTHER LN #189, DALLAS, TX 75225-6202
(214) 612-6518
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/02/2018
Last updated
09/24/2018
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