Provider Demographics
NPI:1366890758
Name:NEUROVISION, LLC
Entity type:Organization
Organization Name:NEUROVISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:DRAGOSET
Authorized Official - Suffix:
Authorized Official - Credentials:CNIM, MS
Authorized Official - Phone:972-388-4031
Mailing Address - Street 1:1402 OLD KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-5249
Mailing Address - Country:US
Mailing Address - Phone:972-388-4031
Mailing Address - Fax:
Practice Address - Street 1:1402 OLD KNOLL DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-5249
Practice Address - Country:US
Practice Address - Phone:972-388-4031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty