Medical Provider Services LLC
NPI #1104582386 in Ft Worth, Texas
Provider Information
- NPI Number
- 1104582386
- Entity Type
- Organization
- Organization Name
- Medical Provider Services LLC
- Primary Specialty
- Electrodiagnostic Medicine
- Enumeration Date
- Nov 12, 2021
- Last Updated
- Nov 12, 2021
Practice Location
Authorized Official
- Name
- GINA SULLIVAN
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (903) 259-0550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Electrodiagnostic Medicine |
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