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1710626098
MINIMALLY INVASIVE NEUROSURGERY NEUROMONITORING PLLC
FT WORTH, TX
NPI
1710626098
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Entity Type
Organization
Authorized Contact
GINA SULLIVAN
Practice Administrator
903-259-0550
Organization Subpart ?
No
Primary Taxonomy
204R00000X Electrodiagnostic Medicine
Enumeration Date
2022-06-03
Last Update Date
2022-06-03
Business Address
MINIMALLY INVASIVE NEUROSURGERY NEUROMONITORING PLLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
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Mailing Address
MINIMALLY INVASIVE NEUROSURGERY NEUROMONITORING PLLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
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