Sasa RX LLC

Electrodiagnostic Medicine Physician · Ft Worth, TX

Organization Active NPI

NPI number 1013564087

Practice location

111 Boland St Ste 211
Ft Worth, TX 76107-1265
Phone
(817) 529-8488
Fax
(903) 328-6568

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NPI record

NPI
1013564087
Entity type
Organization (Type 2)
Enumeration date
August 23, 2019
Last updated
August 23, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Electrodiagnostic Medicine Physician Primary 204R00000X — —

Authorized official

Name
Gina Sullivan
Title
Billing Manager
Phone
(817) 529-8488

About Sasa RX LLC

Sasa RX LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Electrodiagnostic Medicine Physician (code 204R00000X). The practice location is 111 Boland St Ste 211, Ft Worth, TX 76107-1265. The NPI number 1013564087 was assigned on August 23, 2019 and the record was last updated on August 23, 2019.

The authorized official for this organization is Gina Sullivan, Billing Manager.

Frequently asked questions

What is the NPI number of Sasa RX LLC?

The NPI number is 1013564087.

What is the phone number of Sasa RX LLC?

The phone number listed for the practice location is (817) 529-8488.

Where is Sasa RX LLC located?

111 Boland St Ste 211, Ft Worth, TX 76107-1265.

What is the taxonomy code for Sasa RX LLC?

The primary taxonomy code is 204R00000X – Electrodiagnostic Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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