PHASE REVERSAL LLC

FT WORTH, TX
NPI1407409485
Entity TypeOrganization
Authorized ContactGINA SULLIVAN
Billing Manager
817-529-8488
Organization Subpart ?No
Primary Taxonomy204R00000X Electrodiagnostic Medicine
Enumeration Date2019-07-19
Last Update Date2019-07-19
Business Address
PHASE REVERSAL LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
Mailing Address
PHASE REVERSAL LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488