Rudolph Seide, CNIM
Specialist/Technologist, Other, Electroneurodiagnostic in Ft Worth, TX. Individual provider (NPI-1).
NPI number1164056883
StatusActive
Last updated in NPPESMar 3, 2020
Details
- NPI
- 1164056883
- Entity type
- Individual (NPI-1)
- Name
- Rudolph Seide
- Credential
- CNIM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2020
- Certification date
- Mar 3, 2020
- Last updated
- Mar 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | Yes |
Practice location
111 Boland St Ste 211Ft Worth, TX 76107-1265
Phone 817-529-8488 · Fax 903-328-6568
Mailing address
111 Boland St Ste 211Ft Worth, TX 76107-1265
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All 56 Electroneurodiagnostic Specialist/Technologist providers in Ft Worth · All 954 providers in Ft Worth
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