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Organization

SPOTTED BASS NEUROMONITORING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PEDRO NOSNIK M.D. (DIRECTOR)
(972) 468-9467
Entity
Organization

Contact information

Practice address
4100 W 15TH ST, STE 206, PLANO, TX 75093-5803
(972) 468-9467
Mailing address
4100 W 15TH ST, STE 206, PLANO, TX 75093-5803

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/01/2013
Last updated
11/01/2013
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