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Organization

PEGASUS NMS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA SULLIVAN (BILLING MANAGER)
(817) 529-8488
Entity
Organization

Contact information

Practice address
6505 W PARK BLVD # 306-264, PLANO, TX 75093-6208
(817) 529-8488
(903) 328-6568
Mailing address
6505 W PARK BLVD # 306-264, PLANO, TX 75093-6208
(817) 529-8488
(903) 328-6568

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary

Other

Enumeration date
03/26/2019
Last updated
03/26/2019
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