Bravo Iom LLC
NPI #1003372285 in Ft Worth, Texas
Provider Information
- NPI Number
- 1003372285
- Entity Type
- Organization
- Organization Name
- Bravo Iom LLC
- Primary Specialty
- Electrodiagnostic Medicine
- Enumeration Date
- Feb 13, 2019
- Last Updated
- Feb 13, 2019
Practice Location
Authorized Official
- Name
- GINA SULLLIVAN
- Title
- BILLING MANAGER
- Phone
- (817) 528-8488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Electrodiagnostic Medicine |
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