Provider Demographics
NPI: | 1669626321 |
---|---|
Name: | FUTURESEARCH TRIALS OF NEUROLOGY, LP |
Entity Type: | Organization |
Organization Name: | FUTURESEARCH TRIALS OF NEUROLOGY, LP |
Other - Org Name: | FUTURESSEARCH SLEEP CENTER |
Other - Org Type: | Other Name |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DAVID |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MORRISON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 512-380-9925 |
Mailing Address - Street 1: | 4200 MARATHON BLVD |
Mailing Address - Street 2: | SUITE 300 |
Mailing Address - City: | AUSTIN |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78756-3435 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 512-380-9195 |
Mailing Address - Fax: | 512-374-9600 |
Practice Address - Street 1: | 4201 MARATHON BLVD |
Practice Address - Street 2: | STE. 202 |
Practice Address - City: | AUSTIN |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78756-3436 |
Practice Address - Country: | US |
Practice Address - Phone: | 512-380-9195 |
Practice Address - Fax: | 512-374-9600 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-11-07 |
Last Update Date: | 2009-03-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QS1200X | Ambulatory Health Care Facilities | Clinic/Center | Sleep Disorder Diagnostic |