Organization
FAIRWAY NEUROLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVESH RAJA VERMA MD (PHYSICIAN)
(318) 289-0546
Entity
Organization
Contact information
Practice address
4812 CYPRESS PT, FRISCO, TX 75034-6824
(318) 289-0546
Mailing address
4812 CYPRESS PT, FRISCO, TX 75034-6824
(318) 289-0546
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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