BLACK WILLOW OPERATIONS LLC NPI 1053842641

NPI Information

  • NPI: 1053842641
  • Provider Name: BLACK WILLOW OPERATIONS, LLC
  • Classification: Specialist/Technologist, Other - 246ZE0600X
  • Specialization: Electroneurodiagnostic
  • Entity Type: Organization
  • Address: 6900 DALLAS PKWY
    SUITE 800
    PLANO, TX
    ZIP 75024
  • Phone: (214) 396-7227

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NPI Details

BLACK WILLOW OPERATIONS, LLC is an electroneurodiagnostic specialist technologist other in Plano, TX. BLACK WILLOW OPERATIONS, LLC NPI is 1053842641. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6900 DALLAS PKWY
SUITE 800
PLANO, TX
ZIP 75024-144
Phone: (214) 396-7227
Fax: (469) 453-5192

The provider's authorized official is D Richard Henry .
The authorized official title is Ceo and has the following contact phone number (214) 396-7227.

The enumeration date for this NPI number is 3/24/2017 and was last updated on 3/29/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyNo
2246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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