Organization · NPI-2

Allen Neuro Services LLC

Electrodiagnostic Medicine · Ft Worth, TX

NPI number1265952253
StatusActive
Last updated in NPPESJun 21, 2017

Details

NPI
1265952253
Entity type
Organization (NPI-2)
Legal business name
Allen Neuro Services LLC
Organization subpart
No
Enumeration date
Jun 21, 2017
Last updated
Jun 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
204R00000X Electrodiagnostic Medicine––Yes

Practice location

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

Phone 214-269-3875 · Fax 903-328-6568

Mailing address

906 W Mcdermott Dr Ste 116
Allen, TX 75013-5426

Authorized official

Gina Sullivan
Billing Manager
2142693875

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