Organization
SENTINEL NERVE MONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA M SULLIVAN (BILLING MANAGER)
(903) 259-0550
Entity
Organization
Contact information
Practice address
111 BOLAND ST STE 211, FT WORTH, TX 76107-1265
(903) 259-0550
(903) 328-6568
Mailing address
11700 PRESTON RD STE 660-536, DALLAS, TX 75230-6112
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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