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1205369600
FRISCO IOM PA
FT WORTH, TX
NPI
1205369600
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Entity Type
Organization
Authorized Contact
GINA SULLIVAN
Billing Manager
214-269-3875
Organization Subpart ?
No
Primary Taxonomy
204R00000X Electrodiagnostic Medicine
Enumeration Date
2017-04-04
Last Update Date
2017-04-04
Business Address
FRISCO IOM PA
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 214-269-3875
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Mailing Address
FRISCO IOM PA
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 214-269-3875
Copy
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