Organization · NPI-2
Ridgelea Neuromonitoring
Specialist/Technologist, Other · Addison, TX
NPI number1437817541
StatusActive
Last updated in NPPESJan 7, 2022
Details
- NPI
- 1437817541
- Entity type
- Organization (NPI-2)
- Legal business name
- Ridgelea Neuromonitoring
- Organization subpart
- No
- Enumeration date
- Dec 6, 2021
- Certification date
- Jan 7, 2022
- Last updated
- Jan 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Z00000X | Specialist/Technologist, Other | – | – | Yes |
Practice location
16633 Dallas Pkwy Ste 125Addison, TX 75001-6816
Phone 214-666-8386 · Fax 214-666-8386
Mailing address
Po Box 703231Dallas, TX 75370-3231
Phone 682-717-5802 · Fax 214-666-8386
Authorized official
Breck Beckner
Owner
6827175802
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