Abilene Neurowatch PLLC

Electrodiagnostic Medicine Physician · Ft Worth, TX

Organization Active NPI

NPI number 1508335084

Practice location

111 Boland St Ste 211
Ft Worth, TX 76107-1265
Phone
(214) 269-3875
Fax
(903) 328-6568

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NPI record

NPI
1508335084
Entity type
Organization (Type 2)
Enumeration date
November 14, 2018
Last updated
November 14, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Electrodiagnostic Medicine Physician Primary 204R00000X — —

Authorized official

Name
Gina Sullivan
Title
Billing Manager
Phone
(214) 269-3875

About Abilene Neurowatch PLLC

Abilene Neurowatch PLLC 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 1508335084 was assigned on November 14, 2018 and the record was last updated on November 14, 2018.

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

Frequently asked questions

What is the NPI number of Abilene Neurowatch PLLC?

The NPI number is 1508335084.

What is the phone number of Abilene Neurowatch PLLC?

The phone number listed for the practice location is (214) 269-3875.

Where is Abilene Neurowatch PLLC located?

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

What is the taxonomy code for Abilene Neurowatch PLLC?

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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