Organization
IRVINGVERSE IOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE RAMON MENDEZ BS, CNIM (MANAGING MEMBER)
(682) 560-9127
Entity
Organization
Contact information
Practice address
803 LITTLE CUB WAY, EULESS, TX 76039
(682) 560-9127
(817) 494-3249
Mailing address
803 LITTLE CUB WAY, EULESS, TX 76039
(682) 560-9127
(817) 494-3249
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
04/17/2020
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