| Red River Diagnostics, Pllc | |
|
5001 Rowlett Rd # 4 Rowlett TX 75088-3602 | |
| (972) 412-5299 | |
| (469) 453-3374 |
| Full Name | Red River Diagnostics, Pllc |
|---|---|
| Speciality | Specialist/technologist, Other - Electroneurodiagnostic |
| Location | 5001 Rowlett Rd # 4, Rowlett, Texas |
| Authorized Official Name and Position | Matthew Dasilva (MANAGER) |
| Authorized Official Contact | 9038141558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red River Diagnostics, Pllc 5001 Rowlett Rd # 4 Rowlett TX 75088-3602 Ph: (972) 412-5299 | Red River Diagnostics, Pllc 5001 Rowlett Rd # 4 Rowlett TX 75088-3602 Ph: (972) 412-5299 |
| NPI Number | 1033725940 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 09/01/2025 |
| Certification Date | 09/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033725940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 246ZE0600X | Specialist/technologist, Other - Electroneurodiagnostic | (* (Not Available)) | Primary |
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