Keystone Neuro LLC

NPI #1003473737 in Ft Worth, Texas

Provider Information

NPI Number
1003473737
Entity Type
Organization
Organization Name
Keystone Neuro LLC
Primary Specialty
Electrodiagnostic Medicine
Enumeration Date
May 29, 2019
Last Updated
May 29, 2019

Practice Location

Address
111 BOLAND ST STE 211
State
Texas
ZIP Code
76107-1265
Phone
(817) 529-8488

Authorized Official

Name
GINA SULLIVAN
Title
BILLING MANAGER
Phone
(817) 529-8488

Specialties & Taxonomy Codes

Specialty
Electrodiagnostic Medicine

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