SOUTHLAKE NEUROMONITORING LLC

FT WORTH, TX
NPI1982172987
Entity TypeOrganization
Authorized ContactGINA SULLIVAN
Billing Manager
214-269-3875
Organization Subpart ?No
Primary Taxonomy204R00000X Electrodiagnostic Medicine
Enumeration Date2018-11-07
Last Update Date2018-11-07
Business Address
SOUTHLAKE NEUROMONITORING LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 214-269-3875
Mailing Address
SOUTHLAKE NEUROMONITORING LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number:
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