Brainhertz Neurodiagnostic LLC
Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier in Desoto, TX. Organization (NPI-2).
NPI number1043763493
StatusActive
Last updated in NPPESMay 3, 2023
Details
- NPI
- 1043763493
- Entity type
- Organization (NPI-2)
- Legal business name
- Brainhertz Neurodiagnostic LLC
- Organization subpart
- No
- Enumeration date
- Aug 2, 2016
- Certification date
- May 3, 2023
- Last updated
- May 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335V00000X | Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | – | – | Yes |
| 2472E0500X | Technician, Other, EEG | – | – |
Practice location
1801 N Hampton Rd Ste 416Desoto, TX 75115-2420
Phone 214-437-1932
Mailing address
2700 Whispering Oaks CvCedar Hill, TX 75104-8243
Phone 214-437-1932
Authorized official
Tia Cooks
Administrator
4694901270
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