Evoke Diagnostics LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

License

AP129266 Issued in TX

Legal business name

EVOKE DIAGNOSTICS LLC

Practice address

1104 W Jefferson Blvd
Dallas, TX 75208-5175

Phone

(469) 361-1234

Fax

(972) 449-9185

NPI assigned

Dec 13, 2016

Last updated

Dec 13, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greg W Bunting, DC

Title

Owner

Phone

(972) 401-1699

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1376087197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 LAS COLINAS BLVD E",
            "address_2": "SUITE 130504",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750396291",
            "telephone_number": "817-696-7595",
            "fax_number": "972-499-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W JEFFERSON BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085175",
            "telephone_number": "469-361-1234",
            "fax_number": "972-449-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOKE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "BUNTING",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-401-1699",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "TX",
            "license": "AP129266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electrodiagnostic Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Electrodiagnostic Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.