Unknown Individual – Clinical Neurophysiology Physician, NPI 1760836548
Clinical Neurophysiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
388, Beach Street, Fort Worth, Tarrant County, Texas, 76111, United States
FORT WORTH, TX 762444919
Phone:
Type: Mailing
1141 N LOOP 1604 E #105-612
SAN ANTONIO, TX 78232
Phone: (210) 598-4277
Type: Mailing
1001 12TH AVE #171
FORT WORTH, TX 76104
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
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76244)
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