Organization
NEURODIAGNOSTICS TEX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY MILLER (ADMINISTRATOR)
(903) 534-8812
Entity
Organization
Contact information
Practice address
4803 JEFFERSON AVENUE, SUITE 32, TEXARKANA, AR 71854-1143
(972) 724-5446
(972) 724-5447
Mailing address
4803 JEFFERSON AVENUE, SUITE 32, TEXARKANA, AR 71854-1143
(972) 724-5446
(972) 724-5447
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
08/06/2018
Last updated
04/12/2023
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