NPI 1093423535

Cc1 Medical Holding LLC

Organisation Electrodiagnostic Medicine Physician Ft Worth, TX

Practice location

Address: 111 Boland St STE 211, Ft Worth, TX 76107-1265
Phone: (817) 529-8488
Fax: (903) 328-6568

Authorised official

Name: Gina Sullivan
Title: Practice Administrators
Phone: (903) 259-0550

Registered specialties

Electrodiagnostic Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204R00000X

Other Electrodiagnostic Medicine providers in Texas →

Registry record

NPI: 1093423535
Entity type: Organization
NPI issued: 14 Nov 2022
Record last updated: 14 Nov 2022

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.