DETOELARIZATION LLC , NPI 1376195172
Electrodiagnostic Medicine in FORT WORTH, TX
Last Updated on : Jul 11,2019
About DETOELARIZATION LLC (NPI 1376195172)
DETOELARIZATION LLC is an Electrodiagnostic Medicine in FORT WORTH, United States .
1376195172 is NPI number of DETOELARIZATION LLC.
DETOELARIZATION LLC's primary taxonomy code based on NPI Lookup is 204R00000X with license number . This taxonomy code refers to Electrodiagnostic Medicine.
DETOELARIZATION LLC current practice location address is 111 BOLAND ST STE 211, FORT WORTH, TX. DETOELARIZATION LLC can be reached out via phone at 817-529-8488 and via fax at 903-328-6568 .
You can also correspond with DETOELARIZATION LLC through mail at mailing address 111 BOLAND ST STE 211, FORT WORTH, TX, United States. Mailing address contact number is 817-529-8488.
The enumeration date of DETOELARIZATION LLC is 11-Jul-2019. The provider is registered as an Organization and the NPI record was last updated 4 years ago. The authorized official of DETOELARIZATION LLC is GINA SULLIVAN (Billing Manager). GINA SULLIVAN can be reached at 8175298488.1376195172 NPI Information
Basic NPI information of DETOELARIZATION LLC (NPI 1376195172) is provided below.
| Name | DETOELARIZATION LLC |
|---|---|
| National Provider Id (NPI) | 1376195172 |
| Entity Type | Organization |
| Practice Address | 111 BOLAND ST STE 211,
FORT WORTH, TX, United States |
| Practice Telephone | 817-529-8488 |
| Practice Fax Number | 903-328-6568 |
| Mailing Address | 111 BOLAND ST STE 211 ,
FORT WORTH, TX, United States |
| Mailing Telephone | 817-529-8488 |
| Mailing Fax Number | 903-328-6568 |
| Enumeration Date | 11-Jul-2019 |
| Last Updated Date | 11-Jul-2019 |
DETOELARIZATION LLC (NPI 1376195172) 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.
DETOELARIZATION LLC (NPI 1376195172) Office Location
Office location of DETOELARIZATION LLC is provided in the Google maps below.Providers in same location
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| 1043526502 | A & D QUALITY CHOICES | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 4800 GRANT PARK AVE,
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23-Aug-2010 |
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FAQs
Whose NPI Number is 1376195172?1376195172 is the NPI number of DETOELARIZATION LLC.
Where is DETOELARIZATION LLC located?DETOELARIZATION LLC is located at 111 BOLAND ST STE 211, FORT 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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