Eagle Mountain Ancillaries LLC
Electrodiagnostic Medicine Physician · Ft Worth, TX
Practice location
111 Boland St211
Ft Worth, TX 76107-1263
- Phone
- (214) 269-3875
- Fax
- (903) 328-6568
NPI record
- NPI
- 1699220087
- Entity type
- Organization (Type 2)
- Enumeration date
- August 16, 2016
- Last updated
- August 16, 2016
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Electrodiagnostic Medicine Physician Primary | 204R00000X |
— | — |
Authorized official
- Name
- Paul Schulman
- Title
- Manager
- Phone
- (214) 315-6432
About Eagle Mountain Ancillaries LLC
Eagle Mountain Ancillaries 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, 211, Ft Worth, TX 76107-1263. The NPI number 1699220087 was assigned on August 16, 2016 and the record was last updated on August 16, 2016.
The authorized official for this organization is Paul Schulman, Manager.
Frequently asked questions
What is the NPI number of Eagle Mountain Ancillaries LLC?
The NPI number is 1699220087.
What is the phone number of Eagle Mountain Ancillaries LLC?
The phone number listed for the practice location is (214) 269-3875.
Where is Eagle Mountain Ancillaries LLC located?
111 Boland St, 211, Ft Worth, TX 76107-1263.
What is the taxonomy code for Eagle Mountain Ancillaries 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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