Houston Innovation Monitoring Solutions LLC

NPI #1992355580 in Ft Worth, Texas

Provider Information

NPI Number: 1992355580
Entity Type: Organization
Organization Name: Houston Innovation Monitoring Solutions LLC
Primary Specialty: Electrodiagnostic Medicine
Enumeration Date: Sep 16, 2019
Last Updated: Sep 16, 2019

Practice Location

Address: 111 BOLAND ST STE 211
City: Ft Worth
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	Taxonomy Code	Primary
Electrodiagnostic Medicine	204R00000X	Primary

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