Whalio Doctors

NPI 1053859884

Global Brain Eeg, LLC

Organisation Physiological Laboratory Southlake, TX

Practice location

Address
521 W Southlake Blvd STE 150, Southlake, TX 76092-6174
Phone
(817) 328-3000
Fax
(817) 328-3333

Authorised official

Name
Gary L Hollingsworth
Title
Ceo
Phone
(817) 328-3000

Registered specialties (3)

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X
Health Service Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QH0100X
Medical Specialty Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM2500X

Registry record

NPI
1053859884
Entity type
Organization
NPI issued
31 Jan 2017
Record last updated
27 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.