Jennifer D Vivas
Specialist/Technologist, Other, Electroneurodiagnostic in Fort Worth, TX. Individual provider (NPI-1).
NPI number1982152260
StatusActive
Last updated in NPPESSep 15, 2016
Details
- NPI
- 1982152260
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer D Vivas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2016
- Last updated
- Sep 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | Yes |
Practice location
500 Throckmorton Street Unit 3012Fort Worth, TX 76102
Phone 817-908-5292 · Fax 817-885-7339
Mailing address
500 Throckmorton Street Unit 3012Fort Worth, TX 76102
Phone 817-908-5292 · Fax 817-885-7339
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All 17 Electroneurodiagnostic Specialist/Technologist providers in Fort Worth · All 20,155 providers in Fort Worth
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