Organization
EULESSVERSE IOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE K CRITES (MANAGER)
(817) 823-8001
Entity
Organization
Contact information
Practice address
803 LITTLE CUB WAY, EULESS, TX 76039
(817) 809-6670
(817) 887-4887
Mailing address
803 LITTLE CUB WAY, EULESS, TX 76039
(817) 809-6670
(817) 887-4887
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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