DETOELARIZATION LLC

FORT WORTH, TX
NPI1376195172
Entity TypeOrganization
Authorized ContactGINA SULLIVAN
Billing Manager
817-529-8488
Organization Subpart ?No
Primary Taxonomy204R00000X Electrodiagnostic Medicine
Enumeration Date2019-07-11
Last Update Date2019-07-11
Business Address
DETOELARIZATION LLC
111 BOLAND ST STE 211
FORT WORTH, TX 76107-1265
Phone number: 817-529-8488
Mailing Address
DETOELARIZATION LLC
111 BOLAND ST STE 211
FORT WORTH, TX 76107-1265
Phone number: 817-529-8488
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