Ranvier Iom Pllc

NPI #1093357691 in Ft Worth, Texas

Provider Information

NPI Number
1093357691
Entity Type
Organization
Organization Name
Ranvier Iom Pllc
Primary Specialty
Electrodiagnostic Medicine
Enumeration Date
Oct 15, 2019
Last Updated
Oct 15, 2019

Practice Location

Address
111 BOLAND ST #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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