Organization
LEGACY NEUROLOGY & SLEEP OF NORTH TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL N NICHOLS RPSGT (PRESIDENT/OWNER)
(817) 500-3407
Entity
Organization
Contact information
Practice address
10369 BRADSHAW DR, FORT WORTH, TX 76108-6990
(817) 500-3407
(682) 730-1808
Mailing address
10369 BRADSHAW DR, FORT WORTH, TX 76108-6990
(817) 500-3407
(682) 730-1808
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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