NEUROLOGICAL DOCTORS OF DALLAS PA
Medical Practice at Greenville Ave, Dallas, TX

License number
Texas K0230
Category
Medical Practice
Type
Specialist
Owner
Name: DR. MICHEAL I VENGROW
Title: PRESIDENT
Phone: (214) 575-6633
Address
Address
11884 Greenville Ave STE 110A, Dallas, TX 75243
National Provider ID: 1770766941
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NEUROLOGICAL DOCTORS OF DALLAS, PA

Plano, TX  -  Dallas, TX

Registration:
Oct 29, 2004
Addresses:
5977 Temple Dr, Plano, TX 75093 (Mailing)
8210 Walnut Hl Ln, Dallas, TX 75231
State ID:
0800408114
Business type:
Professional Association
President, Director, Member:
Michael I. Vengrow (President, Director, Member)
Agent:
Michael Vengrow,5977 Temple Dr, Plano, TX 75093 (Physical)
TIN:
32035515553

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