CC1 MEDICAL HOLDING LLC , NPI 1093423535
Electrodiagnostic Medicine in FT WORTH, TX
Last Updated on : Nov 14,2022
About CC1 MEDICAL HOLDING LLC (NPI 1093423535)
CC1 MEDICAL HOLDING LLC is an Electrodiagnostic Medicine in FT WORTH, United States .
1093423535 is NPI number of CC1 MEDICAL HOLDING LLC.
CC1 MEDICAL HOLDING LLC's primary taxonomy code based on NPI Lookup is 204R00000X with license number . This taxonomy code refers to Electrodiagnostic Medicine.
CC1 MEDICAL HOLDING LLC current practice location address is 111 BOLAND ST STE 211, FT WORTH, TX. CC1 MEDICAL HOLDING LLC can be reached out via phone at 817-529-8488 .
You can also correspond with CC1 MEDICAL HOLDING LLC through mail at mailing address 111 BOLAND ST STE 211, FT WORTH, TX, United States. Mailing address contact number is 817-529-8488.
The enumeration date of CC1 MEDICAL HOLDING LLC is 14-Nov-2022. The provider is registered as an Organization and the NPI record was last updated 1 years ago. The authorized official of CC1 MEDICAL HOLDING LLC is GINA SULLIVAN (Practice Administrators). GINA SULLIVAN can be reached at 9032590550.1093423535 NPI Information
Basic NPI information of CC1 MEDICAL HOLDING LLC (NPI 1093423535) is provided below.
| Name | CC1 MEDICAL HOLDING LLC |
|---|---|
| National Provider Id (NPI) | 1093423535 |
| Entity Type | Organization |
| Practice Address | 111 BOLAND ST STE 211,
FT WORTH, TX, United States |
| Practice Telephone | 817-529-8488 |
| Practice Fax Number | |
| Mailing Address | 111 BOLAND ST STE 211 ,
FT WORTH, TX, United States |
| Mailing Telephone | 817-529-8488 |
| Mailing Fax Number | 903-328-6568 |
| Enumeration Date | 14-Nov-2022 |
| Last Updated Date | 14-Nov-2022 |
CC1 MEDICAL HOLDING LLC (NPI 1093423535) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 204R00000X | Electrodiagnostic Medicine |
Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.
CC1 MEDICAL HOLDING LLC (NPI 1093423535) Office Location
Office location of CC1 MEDICAL HOLDING LLC is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1023579935 | 51 NM LLC | Electrodiagnostic Medicine | 111 BOLAND ST STE 211,
FT WORTH, TX, United States |
26-Mar-2019 |
| 1649706722 | A FRIENDLY NEIGHBOR HOME CARE LLC | Preferred Provider Organization | 4500 MERCANTILE PLAZA DR STE 300,
FT WORTH, TX, United States |
10-May-2017 |
| 1790791531 | A-1 DRUG MART INC | Pharmacy | 4821 RIVER OAKS BLVD,
FT WORTH, TX, United States |
01-Aug-2006 |
| 1851837124 | ABILENE IOM, LLC | Electrodiagnostic Medicine | 111 BOLAND ST,
211 FT WORTH, TX, United States |
11-Jan-2017 |
| 1508335084 | ABILENE NEUROWATCH PLLC | Electrodiagnostic Medicine | 111 BOLAND ST STE 211,
FT WORTH, TX, United States |
14-Nov-2018 |
| 1700105301 | KATHRYN ELAINE ABRAHAMSON | Nurse Practitioner, Women's Health | 709 W LEUDA ST,
FT WORTH, TX, United States |
21-May-2010 |
| 1871667295 | ABSOLUTE CARE HOME HEALTH AGENCY | Home Health | 5460 WEDGMONT CIR N,
FT WORTH, TX, United States |
17-Nov-2006 |
| 1457401135 | ACCIDENT & INJURY PAIN CENTERS, INC. | Clinic/Center | 200 WYNNEWOOD VILLAGE,
DALLAS, TX, United States |
12-Jan-2007 |
| 1649281296 | MICHAEL PAUL ADAMO | Internal Medicine | 800 8TH AVE STE 432,
FT WORTH, TX, United States |
10-Aug-2006 |
| 1992059158 | ABIOLA A ADAMS | Physician Assistant | 5108 PECOS RIVER TRL,
APT.2115 FT WORTH, TX, United States |
08-Nov-2012 |
| 1063875847 | MALAIKA ROSE ADAMS | Psychiatry & Neurology, Psychiatry | 1500 S MAIN ST,
FT WORTH, TX, United States |
30-Mar-2016 |
| 1235524349 | TIMOTHY ADAMS | Student in an Organized Health Care Education/Training Program | 6320 SOUTHWEST BLVD STE 207,
BENBROOK, TX, United States |
06-Apr-2015 |
| 1306070479 | ADEWALE OLUWASEUN ADENIRAN | Orthopaedic Surgery | 1650 W ROSEDALE ST STE 301,
FT WORTH, TX, United States |
05-May-2009 |
| 1962432682 | ADVANCE HI-TECH NURSING, INC. | Day Training, Developmentally Disabled Services | 6243 W IH 10,
SUITE 375 SAN ANTONIO, TX, United States |
05-Jul-2006 |
| 1275148793 | BIANCA ADRIANNA AGNELLO | Nurse Practitioner, Family | 8465 BOAT CLUB RD STE 115,
FORT WORTH, TX, United States |
11-Sep-2020 |
| 1790306371 | AMANZE AHARANWA | Pharmacist | 712 ZEKE LAKE TRL,
FT WORTH, TX, United States |
05-May-2020 |
| 1750634002 | JOANNA N AHOUNOU | Nurse Practitioner | PO BOX 54455,
HURST, TX, United States |
24-Oct-2012 |
| 1942849161 | AHV IOM LLC | Electrodiagnostic Medicine | 111 BOLAND ST STE 211,
FT WORTH, TX, United States |
06-Jan-2020 |
| 1992321558 | AIDS HEALTHCARE FOUNDATION TEXAS INC | Internal Medicine, Infectious Disease | 7400 FANNIN ST STE 1118,
HOUSTON, TX, United States |
19-Jun-2020 |
| 1578114617 | OSARUGUE CASSANDRA AIGBOGUN | Nurse Practitioner, Family | 5801 OAKBEND TRL STE 250,
FT WORTH, TX, United States |
20-Sep-2019 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1093423535?1093423535 is the NPI number of CC1 MEDICAL HOLDING LLC.
Where is CC1 MEDICAL HOLDING LLC located?CC1 MEDICAL HOLDING LLC is located at 111 BOLAND ST STE 211, FT WORTH, TX.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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