Organization
MBB MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK GRAY (DIRECTOR)
(844) 212-5321
Entity
Organization
Contact information
Practice address
12700 HILLCREST RD STE 158, DALLAS, TX 75230-2055
(844) 212-5321
(214) 594-9559
Mailing address
PO BOX 6529, MCKINNEY, TX 75071-5114
(844) 212-5321
(214) 594-9559
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
2472E0500X
EEG Technician
—
—
261QR0200X
Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
01/28/2021
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