Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Axonblu Diagnostics LLC

Organization Epilepsy Physician · NPI 1720965619

Axonblu Diagnostics LLC is an Epilepsy Physician in Dallas, Texas. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3548 McBroom St
Dallas, TX 75212-2346
Phone: (817) 422-1614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Epilepsy Physician Taxonomy 2084E0001X
Clinical Neurophysiology Physician Taxonomy 2084N0600X

Record details

NPI number1720965619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caleb Hinton — President · (817) 422-1614
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 19, 2025
Mailing address3548 McBroom St, Dallas, TX 75212-2346

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