Organization · NPI-2

Black Oak Operations, LLC

Specialist/Technologist, Other, Electroneurodiagnostic · Plano, TX

NPI number1063943652

StatusActive

Last updated in NPPESMar 29, 2017

Details

NPI: 1063943652
Entity type: Organization (NPI-2)
Legal business name: Black Oak Operations, LLC
Organization subpart: No
Enumeration date: Mar 24, 2017
Last updated: Mar 29, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
246ZE0600X	Specialist/Technologist, Other, Electroneurodiagnostic	–	–	Yes
2084N0400X	Psychiatry & Neurology, Neurology	–	–

Practice location

6900 Dallas Pkwy
Suite 800
Plano, TX 75024-7144

Phone 214-396-7227 · Fax 469-453-5192

Mailing address

6900 Dallas Pkwy
Suite 800
Plano, TX 75024-7144

Phone 214-396-7227 · Fax 469-453-5192

Authorized official

D Richard Henry
Ceo
2143967227

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