Organization
INF-IOM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
(210) 598-2801
Entity
Organization
Contact information
Practice address
5706 E MOCKINGBIRD LANE, STE 115 #403, DALLAS, TX 75206-5461
(469) 283-0574
(210) 598-7268
Mailing address
5706 E MOCKINGBIRD LANE, STE 115 #403, DALLAS, TX 75206-5461
(469) 283-0574
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
09/28/2015
Last updated
07/21/2022
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