Unknown Individual – Clinical Neurophysiology Physician, NPI 1366972697
Clinical Neurophysiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Whataburger, 125, Sycamore School Road, Lytle, Fort Worth, Tarrant County, Texas, 76134, United States
PMB #312
FORT WORTH, TX 761337826
Phone:
Type: Mailing
1141 N LOOP 1604 E # 105-612
SAN ANTONIO, TX 782321339
Phone:
Type: Mailing
5080 SPECTRUM DR STE 1100E
ADDISON, TX 750014688
Phone: (469) 283-1992
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76133)
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