SOUTHWEST ELECTRODIAGNOSTIC CENTER LLC (NPI# 1518226521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518226521 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST ELECTRODIAGNOSTIC CENTER LLC |
| Practice Address |
16135 Preston Rd Ste 135 Box 21 Dallas TX 75248-3590 |
| Mailing Address |
Po Box 794564 Dallas TX 75379-4564 |
| Practice Telephone | 8666205987 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |
| Authorized Official Name | DR. HENRY G RAROQUE JR. (MANAGER) |
| Authorized Official Telephone | 8666205987 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
H6748 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | H6748 | 01 |
| Street Address |
16135 PRESTON RD STE 135 BOX 21 |
| City | DALLAS |
| State | TX |
| Zip Code | 75248-3590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093336398 | Rachel Carrithers | Registered Nurse | 7611 El Pendsador, Dallas, TX 75248 | 2020-04-28 |
| 1538621024 | Syreeta Williams | Specialist | 16690 Dallas Parkway, Suite 208, Dallas, TX 75248 | 2019-04-03 |
| 1225505928 | Bent Tree Counseling, Pllc | Marriage & Family Therapist | 16800 North Dallas Parkway, Suite 100, Dallas, TX 75248 | 2018-10-31 |
| 1649764598 | Annie Girson | Dentist | 16000 Preston Rd. Suite 310, Dallas, TX 75248 | 2018-06-14 |
| 1821503772 | Affordable Dentist Near Me Dallas Pllc. | Dentist | 14902 Preston Road. Suite 201, Dallas, TX 75248 | 2017-12-13 |
| 1477077717 | Children's Dental At Preston Trail, PC | Dentist | 17194 Preson Road, Dallas, TX 75248 | 2017-07-28 |
| 1871023481 | Caroline Ford | Psychologist | 16150 Preston Road, Dallas, TX 75248 | 2017-06-15 |
| 1679940902 | North Texas Cin, Inc. | Clinic/Center | 15770 North Dallas Parkway, Suite 900, Dallas, TX 75248 | 2015-08-21 |
| 1508246240 | Arzu Shams | Counselor | 17103 Preston Rd Ste 230, Dallas, TX 75248 | 2015-06-08 |
| 1992182174 | Texas Dentistry for Kids Richardson, Pllc | Dentist | 7989 Beltline Rd Ste# 107, Dallas, TX 75248 | 2015-04-27 |
| Find all providers in zip 75248 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386147544 | Irina Mikhaylovna Podkorytova | Psychiatry & Neurology | 5323 Harry Hines Blvd # E1.202, Dallas, TX 75390-7208 | 2018-03-14 |
| 1215389655 | Revolution Monitoring Management, LLC | Psychiatry & Neurology | 4925 Greenville Ave #200, Dallas, TX 75206 | 2016-07-11 |
| 1891180311 | Mazen T Elkurd | Psychiatry & Neurology | 5323 Harry Hines Blvd # J3.134, Dallas, TX 75390 | 2015-04-01 |
| 1053704692 | Applied Neurophysiology, Pllc | Psychiatry & Neurology | 4025 Stanford Ave, Dallas, TX 75225-7006 | 2015-03-06 |
| 1427459064 | Rch Medical, Pllc | Psychiatry & Neurology | 3816 Stanford Ave, Dallas, TX 75225-7108 | 2014-09-15 |
| 1841627767 | Neurological Associates of North Texas Pllc | Psychiatry & Neurology | 9330 Poppy Dr Ste 500b, Dallas, TX 75218-4621 | 2013-10-09 |
| 1336486828 | Frisco Neurosurgical Products Pllc | Psychiatry & Neurology | 2633 Mckinney Avenue, Suite 130 #341, Dallas, TX 75204 | 2013-01-03 |
| 1992041438 | Chiflauda Monitoring, Pllc | Psychiatry & Neurology | 4848 Lemmon Avenue, Suite 100 #318, Dallas, TX 75219 | 2013-01-02 |
| 1154671113 | Bk Neuromonitoring, Pllc | Psychiatry & Neurology | 25 Highland Park Village, Suite 100 #566, Dallas, TX 75205 | 2012-09-17 |
| 1023269495 | Kathleen Voiers Scott | Psychiatry & Neurology | 15950 Dallas Pkwy, South Tower, Ste 480, Dallas, TX 75248-6615 | 2008-10-03 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.