Provider Demographics
NPI:1477317154
Name:NEUROREEF LABS INC
Entity Type:Organization
Organization Name:NEUROREEF LABS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SATWANT
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS, PHD
Authorized Official - Phone:512-712-8409
Mailing Address - Street 1:5406 MIDDLE FISKVILLE RD APT 250
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-1416
Mailing Address - Country:US
Mailing Address - Phone:512-712-8409
Mailing Address - Fax:
Practice Address - Street 1:5406 MIDDLE FISKVILLE RD APT 250
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1416
Practice Address - Country:US
Practice Address - Phone:512-712-8409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty