Neurodiagnostic Center PA
Psychiatry & Neurology, Neurology in Lufkin, TX. Organization (NPI-2).
NPI number1164087748
StatusActive
Last updated in NPPESMay 8, 2019
Details
- NPI
- 1164087748
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurodiagnostic Center PA
- Organization subpart
- No
- Enumeration date
- May 8, 2019
- Last updated
- May 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
Practice location
107 Medical Park DrLufkin, TX 75904-3135
Phone 936-634-6333 · Fax 936-634-6337
Mailing address
107 Medical Park DrLufkin, TX 75904-3135
Phone 936-634-6333 · Fax 936-634-6337
Authorized official
Sunil Cherry
Owner/President
9366346333
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