Organization
NEUROLOGIC DIAGNOSTIC LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD O CASTILLO (PRESIDENT)
(972) 859-0378
Entity
Organization
Contact information
Practice address
13652 BRETON RIDGE DR STE B, SUITE B, HOUSTON, TX 77070-6088
(972) 859-0378
Mailing address
1910 UNIVERSITY DR, RICHARDSON, TX 75081-3921
(972) 859-0378
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/08/2012
Last updated
04/08/2012
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