Plano Iom Pllc

NPI #1649914672 in Ft Worth, Texas

Provider Information

NPI Number
1649914672
Entity Type
Organization
Organization Name
Plano Iom Pllc
Primary Specialty
Electrodiagnostic Medicine
Enumeration Date
Apr 26, 2022
Last Updated
Apr 26, 2022

Practice Location

Address
111 BOLAND ST STE 211
State
Texas
ZIP Code
76107-1265
Phone
(817) 529-8488

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Electrodiagnostic Medicine

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