1548540990 NPI number — LESLIE EUGENE BRUMMETT EEG TECHNOLOGIST

Table of content: (NPI 1003550575)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548540990 NPI number — LESLIE EUGENE BRUMMETT EEG TECHNOLOGIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRUMMETT
Provider First Name:
LESLIE
Provider Middle Name:
EUGENE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
EEG TECHNOLOGIST
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548540990
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
713 GRAINGER ST
Provider Second Line Business Mailing Address:
203
Provider Business Mailing Address City Name:
FORT WORTH
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76104-3261
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-948-9488
Provider Business Mailing Address Fax Number:
817-336-7917

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
713 GRAINGER ST
Provider Second Line Business Practice Location Address:
203
Provider Business Practice Location Address City Name:
FORT WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76104-3261
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-948-9488
Provider Business Practice Location Address Fax Number:
817-336-7917
Provider Enumeration Date:
08/17/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2472E0500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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