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1942926936
LONE STAR NEURO SERVICE LLC
FT WORTH, TX
NPI
1942926936
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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
2022-10-12
Last Update Date
2023-01-17
Business Address
LONE STAR NEURO SERVICE LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
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Mailing Address
LONE STAR NEURO SERVICE LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
Copy
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