NPI 1003085044

Jeremiah T Vance, CNIM

Practitioner Electroneurodiagnostic Specialist/Technologist Plano, TX

Practice location

Address: 4100 W 15th St STE 218, Plano, TX 75093-5801
Phone: (972) 985-9048
Fax: (972) 596-7570

Registered specialties

Electroneurodiagnostic Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X Licence 1449 (TX)

Other Specialist/Technologist, Other providers in Texas →

Registry record

NPI: 1003085044
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Feb 2008
Record last updated: 25 Feb 2008

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.