Unknown Individual – Clinical Neurophysiology Physician, NPI 1205244191
Clinical Neurophysiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
731 E SOUTHLAKE BLVD
SOUTHLAKE, TX 760926377
Phone: (817) 224-2292
Fax: (214) 853-5728
Type: Mailing
731 E SOUTHLAKE BLVD STE 170
SOUTHLAKE, TX 760926382
Phone: (817) 224-2292
Fax: (214) 853-5728
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76092)
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