Advanced Neuro Solutions, LLC
Neurological Surgery in Dallas, TX. Organization (NPI-2).
NPI number1124366232
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1124366232
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Neuro Solutions, LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2013
- Certification date
- Jun 3, 2024
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
Other names
- Ans (Doing Business As)
Practice location
4516 Lovers LnSte. 331
Dallas, TX 75225-6925
Phone 214-675-0905 · Fax 214-317-4888
Mailing address
Po Box 649209Dallas, TX 75264-9209
Phone 214-675-0905 · Fax 214-317-4888
Authorized official
Trase Mahan
Executive Director
2146750905
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