Ips Iom LLC

Electrodiagnostic Medicine Physician · Ft Worth, TX

Organization Active NPI

NPI number 1740743335

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
1740743335
Entity type
Organization (Type 2)
Enumeration date
April 10, 2019
Last updated
April 10, 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 Ips Iom LLC

Ips Iom 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 1740743335 was assigned on April 10, 2019 and the record was last updated on April 10, 2019.

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

Frequently asked questions

What is the NPI number of Ips Iom LLC?

The NPI number is 1740743335.

What is the phone number of Ips Iom LLC?

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

Where is Ips Iom LLC located?

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

What is the taxonomy code for Ips Iom 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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