Organization
BC DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HOLBERT (OWNER)
(228) 209-3371
Entity
Organization
Contact information
Practice address
905 OAK DR, FLOWER MOUND, TX 75028-1414
(817) 805-4001
Mailing address
905 OAK DR, FLOWER MOUND, TX 75028-1414
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
246ZE0500X
EEG Specialist/Technologist
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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