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

North Texas Neuro Diagnostics LLC

Organization Electrodiagnostic Medicine Physician · NPI 1245796291

North Texas Neuro Diagnostics LLC is an Electrodiagnostic Medicine Physician in Addison, Texas. Registered with an NPI since 2019.

In the registry since
2019
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

17051 Dallas Pkwy Ste 300
Addison, TX 75001-7105
Phone: (817) 529-8488
Fax: (903) 328-6568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electrodiagnostic Medicine Physician (primary) Taxonomy 204R00000X

Record details

NPI number1245796291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Sullivan — Billing Manager · (903) 259-0550
NPI enumeratedFebruary 14, 2019
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020
Mailing address111 Boland St Ste 211, Ft Worth, TX 76107-1265

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