Organization
AK NEUROMONITORING SOLUTIONS LLC
Active
Organization
AK NEUROMONITORING SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SULLIVAN (PRACTICE ADMINISTRATOR)
(903) 259-0550
Entity
Organization
Contact information
Practice address
111 BOLAND ST STE 211, FT WORTH, TX 76107-1265
(817) 529-8488
(903) 328-6568
Mailing address
111 BOLAND ST STE 211, FT WORTH, TX 76107-1265
(817) 529-8488
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
06/20/2023
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