Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Four States Neuro Tech, PA

Organization Surgical Technologist · NPI 1174888184

Four States Neuro Tech, PA provides Surgical Technologist services in Dallas, Texas. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4516 Lovers Ln # 331
Dallas, TX 75225-6925 Not confirmed with CMS for 14 years — call before visiting
Phone: (214) 675-0905
Fax: (214) 317-4888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X

Record details

NPI number1174888184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trase Mahan — Manager · (214) 675-0905
NPI enumeratedJuly 6, 2012
Last updated in NPPESJuly 6, 2012
Mailing addressPo Box 702620, Tulsa, OK 74170-2620

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