NEUROTECHNOLOGY, LLC


Address: 6127 Luther Ln # 472, Dallas, TX 75225-6202
Phone: 2145361647

NEUROTECHNOLOGY, LLC (NPI# 1538552799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538552799
Entity Type Organization
Organization Name NEUROTECHNOLOGY, LLC
Practice Address 6127 Luther Ln # 472
Dallas
TX 75225-6202
Practice Telephone 2145361647
Practice Fax Number 2145807600
Mailing Telephone 2145361647
Mailing Fax Number 2145807600
Enumeration Date 2015-03-12
Last Update Date 2015-03-12
Authorized Official Name DR. NOLAN BRUCE JENEVEIN (PRESIDENT)
Authorized Official Telephone 2147384961
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246Z00000X Specialist/Technologist, Other Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 6127 LUTHER LN # 472
City DALLAS
State TX
Zip Code 75225-6202

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Taxonomy Information

Taxonomy Code 246Z00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other

Taxonomy Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Providers in the same taxonomy and city

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1316121254 Hamid Ahmadi Md Pa Specialist/Technologist, Other 5820 Covehaven Dr, Dallas, TX 75252-5228 2007-12-27
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Competitor

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City DALLAS
Zip Code 75225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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