Global Brain Eeg

NPI #1568982148 in Southlake, Texas

Provider Information

NPI Number: 1568982148
Entity Type: Organization
Organization Name: Global Brain Eeg
Primary Specialty: Physiological Laboratory
Enumeration Date: Jun 23, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 521 W SOUTHLAKE BLVD STE 100
City: Southlake
State: Texas
ZIP Code: 76092-6173
Phone: (817) 328-3000

Authorized Official

Name: HEIDI DENISE HOLLINGSWORH
Title: OWNER
Phone: (817) 798-7763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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