NPI 1114380102
Neurovative Diagnostics LLC
Practice location
- Address
- 16800 Dallas Pkwy STE 175, Dallas, TX 75248-1941
- Phone
- (972) 361-8040
Authorised official
- Name
- Anthony Darrel Wax
- Title
- Ceo
- Phone
- (214) 802-1078
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1114380102
- Entity type
- Organization
- NPI issued
- 29 Mar 2016
- Record last updated
- 25 Jan 2023
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.