NPI 1093357691

Ranvier Iom PLLC

Organisation Electrodiagnostic Medicine Physician Ft Worth, TX

Practice location

Address: 111 Boland St #211, Ft Worth, TX 76107-1265
Phone: (817) 529-8488
Fax: (903) 328-6568
Mailing address: 43422 W Oaks Dr # 430, Novi, MI 48377-3300

Authorised official

Name: Gina Sullivan
Title: Billing Manager
Phone: (817) 529-8488

Registered specialties

Electrodiagnostic Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204R00000X

Other Electrodiagnostic Medicine providers in Texas →

Registry record

NPI: 1093357691
Entity type: Organization
NPI issued: 15 Oct 2019
Record last updated: 15 Oct 2019

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.