OrganizationActive
Eagle Mountain Ancillaries LLC
NPI 1699220087 · Electrodiagnostic Medicine Physician · Ft Worth, TX
Provider details
- NPI number
- 1699220087
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Schulman, Manager(214) 315-6432
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
111 Boland St
211
Ft Worth, TX 76107-1263
Phone: (214) 269-3875
Fax: (903) 328-6568
Approximate (ZIP-level) locationGet directions
Mailing address
111 Boland St
Ft Worth, TX 76107-1263
Registry dates
- Enumerated
- 2016-08-16
- Last updated
- 2016-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.