MICHAEL IAN VENGROW

PLANO, TX
NPI1932198025
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0600X Psychiatry & Neurology Clinical Neurophysiology
(Licence: TX  K0230)
Enumeration Date2005-10-20
Last Update Date2012-01-18
Business Address
MICHAEL IAN VENGROW M.D.
5977 TEMPLE DR
PLANO, TX 75093-8707
Phone number: 214-850-6336
Mailing Address
MICHAEL IAN VENGROW M.D.
5977 TEMPLE DR
PLANO, TX 75093-8707
Phone number: 214-850-6336