AXONBLU DIAGNOSTICS LLC NPI 1720965619

NPI Information

  • NPI: 1720965619
  • Provider Name: AXONBLU DIAGNOSTICS LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 3548 MCBROOM ST
    DALLAS, TX
    ZIP 75212
  • Phone: (817) 422-1614

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NPI Details

AXONBLU DIAGNOSTICS LLC is a neurology psychiatry neurology in Dallas, 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. AXONBLU DIAGNOSTICS LLC NPI is 1720965619. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3548 MCBROOM ST
DALLAS, TX
ZIP 75212-346
Phone: (817) 422-1614

The provider's authorized official is Caleb J Hinton .
The authorized official title is President and has the following contact phone number (817) 422-1614.

The enumeration date for this NPI number is 8/20/2025 and was last updated on 8/20/2025.

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
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
22084E0001XPsychiatry & NeurologyEpilepsyNo
32084N0400XPsychiatry & NeurologyNeurologyYes

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: 11/21/2025

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