Organization
GENESIS NEUROMONNITORING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SULLIVAN (BILLING MANAGER)
(214) 269-3875
Entity
Organization
Contact information
Practice address
5750 RUFE SNOW DR STE 108, NORTH RICHLAND HILLS, TX 76180-6140
(214) 269-3875
(903) 328-6568
Mailing address
729 GRAPEVINE HWY # 330, HURST, TX 76054-2805
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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