Southwest Electrodiagnostic Center Llc
LBN: Southwest Electrodiagnostic Center Llc
Southwest Electrodiagnostic Center Llc is an health care organization with primary practice located at 16135 Preston Rd Ste 135 Box 21, Dallas TX 75248-3590. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty.
Southwest Electrodiagnostic Center Llc can be contacted via phone (866) 620-5987, or through Raroque, Henry G via phone (866) 620-5987.
Contact Information
Primary practice address
16135 Preston Rd Ste 135 Box 21
Dallas TX 75248-3590
Phone: (866) 620-5987
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | H6748 | Texas |
Profile Details
| NPI number | 1518226521 |
|---|---|
| LBN Legal business name | Southwest Electrodiagnostic Center Llc |
| DBA Doing business as | |
| Authorized official | Raroque, Henry G Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2012 |
| Last updated | May 10th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518226521 | NPPES |
| Texas | Other | H6748 | LICENSE |
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