NPI 1043756315

Pain Management Intraoperative Monitoring LLC

Organisation Electrodiagnostic Medicine Physician Ft Worth, TX

Practice location

Address: 111 Boland St 211, Ft Worth, TX 76107-1263
Phone: (214) 269-3875
Fax: (903) 328-6568

Authorised official

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

Registered specialties

Electrodiagnostic Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204R00000X

Other Electrodiagnostic Medicine providers in Texas →

Registry record

NPI: 1043756315
Entity type: Organization
NPI issued: 11 Jan 2017
Record last updated: 11 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.