Mbc-Iom, Llc.

NPI #1275911737 in Allen, Texas

Provider Information

NPI Number
1275911737
Entity Type
Organization
Organization Name
Mbc-Iom, Llc.
Primary Specialty
Technician, Other - EEG
Enumeration Date
May 15, 2015
Last Updated
May 15, 2015

Practice Location

Address
627 RIDGEMONT DR
City
Allen
State
Texas
ZIP Code
75002-6100
Phone
(972) 632-6877

Authorized Official

Name
MS. TONYA M GILLIAM
Title
OWNER
Phone
(972) 632-6877

Specialties & Taxonomy Codes

Specialty
Technician, Other - EEGEEG

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