Organization Name: | BRAINCARE, LLC |
NPI Number: | 1023383429 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN ESTES (CO-PRESIDENT) |
Mailing Address: | 2670 Firewheel Dr Ste B Flower Mound |
State: | TX US |
Postal Code: | 750284601 |
Phone Number: | 8668482522 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2012 |
NPI Last Update Date: | 11/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |