BRAVO IOM LLC

FT WORTH, TX
NPI1003372285
Entity TypeOrganization
Authorized ContactGINA SULLLIVAN
Billing Manager
817-528-8488
Organization Subpart ?No
Primary Taxonomy204R00000X Electrodiagnostic Medicine
Enumeration Date2019-02-13
Last Update Date2019-02-13
Business Address
BRAVO IOM LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
Mailing Address
BRAVO IOM LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
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