Liberty Iom LLC
NPI #1093450975 in Ft Worth, Texas
Provider Information
- NPI Number
- 1093450975
- Entity Type
- Organization
- Organization Name
- Liberty Iom LLC
- Primary Specialty
- Electrodiagnostic Medicine
- Enumeration Date
- May 4, 2022
- Last Updated
- May 4, 2022
Practice Location
Authorized Official
- Name
- GINA SULLIVAN
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (903) 259-0550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Electrodiagnostic Medicine |
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