Organization · NPI-2

Ak Neuromonitoring Solutions LLC

Electrodiagnostic Medicine · Ft Worth, TX

NPI number1659068310
StatusActive
Last updated in NPPESJun 20, 2023

Details

NPI
1659068310
Entity type
Organization (NPI-2)
Legal business name
Ak Neuromonitoring Solutions LLC
Organization subpart
No
Enumeration date
Apr 21, 2023
Certification date
Jun 20, 2023
Last updated
Jun 20, 2023

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
Practice Administrator
9032590550

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