Omni Eeg Lab, INC.
Physiological Laboratory in Dallas, TX. Organization (NPI-2).
NPI number1366735771
StatusActive
Last updated in NPPESMay 17, 2011
Details
- NPI
- 1366735771
- Entity type
- Organization (NPI-2)
- Legal business name
- Omni Eeg Lab, INC.
- Organization subpart
- No
- Enumeration date
- May 17, 2011
- Last updated
- May 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Practice location
6162 E Mockingbird LnSuite 210a
Dallas, TX 75214-2697
Phone 877-334-5227 · Fax 214-550-8215
Mailing address
6162 E Mockingbird LnSuite 210a
Dallas, TX 75214-2697
Phone 877-334-5227 · Fax 214-550-8215
Authorized official
Julian Tilleman
President
8773345227
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