Unknown Individual – Clinical Neurophysiology Physician, NPI 1730632399
Clinical Neurophysiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Skillman Street, Lake Highlands, Dallas, Dallas County, Texas, 75042, United States
#177
DALLAS, TX 752068560
Phone:
Type: Mailing
1141 N LOOP 1604 E #105-612
SAN ANTONIO, TX 78232
Phone: (210) 598-4277
Type: Mailing
3900 N. TARRANT PKWY #104
FORT WORTH, TX 76244
Phone: (210) 598-4277
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75206)
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