Organization
BRAIN WAVES , PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KEVIN FLANAGAN MD (AUTHORIZED OFFICIAL/PROVIDER)
(214) 755-2742
Entity
Organization
Contact information
Practice address
2911 TURTLE CREEK BLVD STE 450, DALLAS, TX 75219-6290
(214) 755-2742
Mailing address
2911 TURTLE CREEK BLVD STE 450, DALLAS, TX 75219-6290
(214) 755-2742
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
K1194
TX
207L00000X
Anesthesiology Physician
K1194
TX
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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