Global Brain Eeg, LLC

NPI #1053859884 in Southlake, Texas

Provider Information

NPI Number: 1053859884
Entity Type: Organization
Organization Name: Global Brain Eeg, LLC
Primary Specialty: Physiological Laboratory
Enumeration Date: Jan 31, 2017
Last Updated: Jul 27, 2020

Practice Location

Address: 521 W SOUTHLAKE BLVD STE 150
City: Southlake
State: Texas
ZIP Code: 76092-6174
Phone: (817) 328-3000

Authorized Official

Name: GARY L HOLLINGSWORTH
Title: CEO
Phone: (817) 328-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Physiological Laboratory	293D00000X	Primary

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