OrganizationActive
Abilene Iom, LLC
NPI 1851837124 · Electrodiagnostic Medicine Physician · Ft Worth, TX
Provider details
- NPI number
- 1851837124
- 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 76107-1263
Phone: (214) 269-3875
Fax: (903) 328-6568
Mailing address
111 Boland St
Ft Worth, TX 76107-1263
Registry dates
- Enumerated
- 2017-01-11
- Last updated
- 2017-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.