North Houston Lower Extremity Iom

NPI #1356807523 in Ft Worth, Texas

Provider Information

NPI Number
1356807523
Entity Type
Organization
Organization Name
North Houston Lower Extremity Iom
Primary Specialty
Electrodiagnostic Medicine
Enumeration Date
Feb 13, 2019
Last Updated
Feb 13, 2019

Practice Location

Address
111 BOLAND ST STE 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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