SOUTHWEST ELECTRODIAGNOSTIC CENTER LLC
Neurology in Dallas, TX

License number
Texas H6748
Category
Neurology
Type
Neurology
Owner
Name: DR. HENRY G RAROQUE JR. MD
Title: MANAGER
Phone: (866) 620-5987
Address
Address
16135 Box 21 STE 135, Dallas, TX 75248
National Provider ID: 1518226521
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTHWEST ELECTRODIAGNOSTIC CENTER, LLC

Dallas, TX

Status:
Inactive
Industry:
Nonclassifiable Establishments
Registration:
Aug 17, 2011
Addresses:
16135 Preston Rd STE 135, Dallas, TX 75248 (Mailing)
PO Box 794564, Dallas, TX 75379
State ID:
0801467457
Business type:
Domestic Limited Liability Company (LLC)
Managers:
Reza Assadolahi (President), 4727 Holly Tree De, Dallas, TX 75248,Ray Assadollahi Manager, inactive,Henry G. Raroque Manager, inactive
TIN:
32044882572

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