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1114486826
BP NEURO LLC
FT WORTH, TX
NPI
1114486826
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Entity Type
Organization
Authorized Contact
GINA SULLIVAN
Billing Manager
817-529-8488
Organization Subpart ?
No
Primary Taxonomy
204R00000X Electrodiagnostic Medicine
Enumeration Date
2019-03-13
Last Update Date
2019-03-13
Business Address
BP NEURO LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
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Mailing Address
BP NEURO LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
Copy
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