Blue Ridge Neuromonitoring LLC

NPI #1184308496 in Ft Worth, Texas

Provider Information

NPI Number
1184308496
Entity Type
Organization
Organization Name
Blue Ridge Neuromonitoring LLC
Primary Specialty
Electrodiagnostic Medicine
Enumeration Date
Jun 15, 2023
Last Updated
Jun 15, 2023

Practice Location

Address
111 BOLAND ST STE 211
State
Texas
ZIP Code
76107-1265
Phone
(817) 529-8511

Authorized Official

Name
GINA SULLIVAN
Title
PRACTICE ADMINISTRATOR
Phone
(903) 259-0550

Specialties & Taxonomy Codes

Specialty
Electrodiagnostic Medicine

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