BLACKCOMB TECHNOLOGIES LLC NPI 1528780517

NPI Information

  • NPI: 1528780517
  • Provider Name: BLACKCOMB TECHNOLOGIES LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 14983 BOAZ LN
    LINDALE, TX
    ZIP 75771
  • Phone: (972) 896-1843

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NPI Details

BLACKCOMB TECHNOLOGIES LLC is a neurology psychiatry neurology in Lindale, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BLACKCOMB TECHNOLOGIES LLC NPI is 1528780517. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14983 BOAZ LN
LINDALE, TX
ZIP 75771-801
Phone: (972) 896-1843

The provider's authorized official is Mary Semich .
The authorized official title is Administrator and has the following contact phone number (972) 896-1843.

The enumeration date for this NPI number is 9/15/2022 and was last updated on 10/18/2022.

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 & NeurologyNeurologyYes

What is NPI?

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

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