US Iom LLC

NPI #1659818516 in Ft Worth, Texas

Provider Information

NPI Number
1659818516
Entity Type
Organization
Organization Name
US Iom LLC
Primary Specialty
Electrodiagnostic Medicine
Enumeration Date
Jan 30, 2017
Last Updated
Jan 30, 2017

Practice Location

Address
111 BOLAND ST
Address 2
211
State
Texas
ZIP Code
76107-1263
Phone
(214) 269-3875

Authorized Official

Name
GINA SULLIVAN
Title
BILLING MANAGER
Phone
(214) 269-3875

Specialties & Taxonomy Codes

Specialty
Electrodiagnostic Medicine

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