Pain Management Intraoperative Monitoring LLC

NPI #1043756315 in Ft Worth, Texas

Provider Information

NPI Number
1043756315
Entity Type
Organization
Organization Name
Pain Management Intraoperative Monitoring LLC
Primary Specialty
Electrodiagnostic Medicine
Enumeration Date
Jan 11, 2017
Last Updated
Jan 11, 2017

Practice Location

Address
111 BOLAND ST
Address 2
211
State
Texas
ZIP Code
76107-1263
Phone
(214) 269-3875

Authorized Official

Name
GINA SULLIVAN
Title
BILLING MANAGER
Phone
(214) 269-3875

Specialties & Taxonomy Codes

Specialty
Electrodiagnostic Medicine

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