SOURCE 1 MEDICAL INC

PLANO, TX
NPI1457016966
Entity TypeOrganization
Authorized ContactWILLIAM GARRET HARRELL
Chief Operations Officer
214-808-2724
Organization Subpart ?No
Primary Taxonomy2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
Additional Taxonomies204R00000X Electrodiagnostic Medicine
2084N0400X Psychiatry & Neurology, Neurology
225100000X Physical Therapist
2251E1300X Physical Therapist, Electrophysiology, Clinical
2251S0007X Physical Therapist, Sports
2251X0800X Physical Therapist, Orthopedic
225X00000X Occupational Therapist
225XN1300X Occupational Therapist, Neurorehabilitation
225XP0019X Occupational Therapist, Physical Rehabilitation
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date2021-11-01
Last Update Date2022-03-24
Business Address
SOURCE 1 MEDICAL INC
5425 W SPRING CREEK PKWY STE 270
PLANO, TX 75024-4317
Phone number: 972-801-2190
Mailing Address
SOURCE 1 MEDICAL INC
PO BOX 251728
PLANO, TX 75025-1517
Phone number: 972-801-2190