Guidance Diagnostic LLC

Electrodiagnostic Medicine Physician · Ft Worth, TX

Organization Active NPI

NPI number 1902425754

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
1902425754
Entity type
Organization (Type 2)
Enumeration date
April 13, 2020
Last updated
April 13, 2020
Certified
April 13, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Electrodiagnostic Medicine Physician Primary 204R00000X — —

Authorized official

Name
Gina Sullivan
Title
Billing Manager
Phone
(817) 529-8511

About Guidance Diagnostic LLC

Guidance Diagnostic 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 1902425754 was assigned on April 13, 2020 and the record was last updated on April 13, 2020.

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

Frequently asked questions

What is the NPI number of Guidance Diagnostic LLC?

The NPI number is 1902425754.

What is the phone number of Guidance Diagnostic LLC?

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

Where is Guidance Diagnostic LLC located?

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

What is the taxonomy code for Guidance Diagnostic 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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