Organization
NEUROINTERP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOLAN BRUCE JENEVEIN MD (PRESIDENT)
(214) 738-4961
Entity
Organization
Contact information
Practice address
4025 STANFORD AVE, DALLAS, TX 75225-7006
(121) 453-6164
(214) 536-1647
Mailing address
5600 W LOVERS LN STE 116-133, DALLAS, TX 75209-4330
(214) 536-1647
(214) 580-7600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H2492
TX
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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