Cc1 Medical Holding LLC
NPI 1093423535 · Electrodiagnostic Medicine Physician · Ft Worth, TX
Cc1 Medical Holding LLC is a Electrodiagnostic Medicine Physician organization in Ft Worth, TX (NPI 1093423535).
Provider details
- NPI number
- 1093423535
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gina Sullivan, Practice Administrators(903) 259-0550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-14
- Last updated
- 2022-11-14
- Certified
- 2022-11-14
Frequently asked questions
- What is Cc1 Medical Holding LLC's NPI number?
- Cc1 Medical Holding LLC's National Provider Identifier (NPI) is 1093423535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cc1 Medical Holding LLC?
- Cc1 Medical Holding LLC is classified in the NPPES registry as Electrodiagnostic Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cc1 Medical Holding LLC located?
- Cc1 Medical Holding LLC's practice location on file with NPPES is 111 Boland St Ste 211, Ft Worth, TX 76107-1265.
- What is Cc1 Medical Holding LLC's phone number?
- The practice phone number listed in the NPPES registry for Cc1 Medical Holding LLC is (817) 529-8488.
- Who is the authorized official for Cc1 Medical Holding LLC?
- The authorized official listed on Cc1 Medical Holding LLC's NPPES record is Gina Sullivan, Practice Administrators. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cc1 Medical Holding LLC's NPI active?
- Yes — Cc1 Medical Holding LLC's NPI (1093423535) is active in the NPPES registry as of the last update on 2022-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.