OrganizationActive
Camonbro Investment LLC
NPI 1114429669 · Electrodiagnostic Medicine Physician · Ft Worth, TX
Provider details
- NPI number
- 1114429669
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Gina Sullivan, Billing Manager
Practice location
111 Boland St #211
Ft Worth, TX 76107
Phone: (214) 269-3875
Fax: (903) 328-6568
Mailing address
111 Boland St #211
Ft Worth, TX 76107
Registry dates
- Enumerated
- 2018-03-01
- Last updated
- 2018-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.