Organization
CEREBRAL AXIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN JONES-QUAIDOO M.D. (PRESIDENT)
(469) 283-0209
Entity
Organization
Contact information
Practice address
101 S COIT RD, STE 36 #266, RICHARDSON, TX 75080-5743
(469) 283-0209
Mailing address
101 S COIT RD, STE 36 #266, RICHARDSON, TX 75080-5743
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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