Organization · NPI-2

51 Nm LLC

Electrodiagnostic Medicine · Ft Worth, TX

NPI number1023579935
StatusActive
Last updated in NPPESMar 26, 2019

Details

NPI
1023579935
Entity type
Organization (NPI-2)
Legal business name
51 Nm LLC
Organization subpart
No
Enumeration date
Mar 26, 2019
Last updated
Mar 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
204R00000X Electrodiagnostic Medicine––Yes

Practice location

111 Boland St Ste 211
Ft Worth, TX 76107-1265

Phone 817-529-8488 · Fax 903-328-6568

Mailing address

111 Boland St Ste 211
Ft Worth, TX 76107-1265

Phone 817-529-8488

Authorized official

Gina Sullivan
Billing Manager
8175298488

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