ABILENE IOM, LLC

FT WORTH, TX
NPI1851837124
Entity TypeOrganization
Authorized ContactGINA SULLIVAN
Billing Manager
214-269-3875
Organization Subpart ?No
Primary Taxonomy204R00000X Electrodiagnostic Medicine
Enumeration Date2017-01-11
Last Update Date2017-04-05
Business Address
ABILENE IOM, LLC
111 BOLAND ST 211
FT WORTH, TX 76107-1263
Phone number: 214-269-3875
Mailing Address
ABILENE IOM, LLC
111 BOLAND ST 211
FT WORTH, TX 76107-1263
Phone number: 214-269-3875
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