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Organization

NSIOM, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
(210) 598-2800
Entity
Organization

Contact information

Practice address
4447 N CENTRAL EXPY STE 110-2448, DALLAS, TX 75205-4245
(469) 283-2594
Mailing address
4447 N CENTRAL EXPY STE 110-2448, DALLAS, TX 75205-4245

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
2084N0400X
Neurology Physician
2084N0600X
Clinical Neurophysiology Physician
Primary
246ZE0600X
Electroneurodiagnostic Specialist/Technologist

Other

Enumeration date
02/11/2019
Last updated
02/11/2019
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