Detoelarization Llc

LBN: Detoelarization Llc
Detoelarization Llc is an health care organization with primary practice located at 111 Boland St Ste 211 , Fort Worth TX 76107-1265. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, which is considered as the primary health care specialty. Detoelarization Llc can be contacted via phone (817) 529-8488, or through Sullivan, Gina via phone (817) 529-8488.

Contact Information

Primary practice address
111 Boland St Ste 211 Fort Worth TX 76107-1265
Phone: (817) 529-8488
Fax: (903) 328-6568
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Gina
Phone: (817) 529-8488

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X

Profile Details

NPI number 1376195172
LBN Legal business name Detoelarization Llc
DBA Doing business as
Authorized official Sullivan, Gina
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2019
Last updated Jul 11th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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