Organization
NEUROSPECTRUM, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN B GIPSON RPSGT (CEO)
(972) 672-2546
Entity
Organization
Contact information
Practice address
2000 S FM 51, DECATUR, TX 76234-3702
(940) 626-1727
(940) 626-1728
Mailing address
3600 LEEDS CT, CORINTH, TX 76210-4158
(972) 672-2546
(972) 838-1335
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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