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Southwest Neurophysiology, Pllc
Clinical Neurophysiology Physician in Grand Prairie, Texas
NPI 1740832120

Southwest Neurophysiology, Pllc is a Clinical Neurophysiology Physician based in Coppell, TX and is specialized in Clinical Neurophysiology. Southwest Neurophysiology, Pllc practices in Grand Prairie, TX. The NPI Number for Southwest Neurophysiology, Pllc is 1740832120 and holds a License No. (Texas).

The current practice location address for Southwest Neurophysiology, Pllc is 2452 Lakewood Dr, Grand Prairie, TX and can be reached out via phone at 469-343-5989 and via fax at 888-516-0585.

Location: 2452 Lakewood Dr, Grand Prairie, TX, 75019-5546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740832120
Provider Name
Southwest Neurophysiology, Pllc
Credential
Provider Entity Type
Organization
Address
2452 Lakewood Dr, Grand Prairie, TX, 75019-5546
Phone Number
469-343-5989
Fax Number
888-516-0585
Provider Enumeration Date
07/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00LZ77 01 TX BCBS RECORD ID
institution
Provider Business Practice Location Address Details
Address
2452 Lakewood Dr
City
Grand Prairie
State
Texas
Zip
75054-6800
Phone Number
469-343-5989
Fax Number
888-516-0585
person
Provider Business Mailing Address Details
Address
2452 Lakewood Dr
City
Grand Prairie
State
Texas
Zip
75054-6800
Phone Number
469-343-5989
Fax Number
888-516-0585
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
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Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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