PRECISION IOM PLLC
NPI 1104383223
Electrodiagnostic Medicine in Ft Worth, TX

Active since February 25, 2019
111 BOLAND ST STE 211, FT WORTH, TX 76107(817) 529-8488(903) 328-6568 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Electrodiagnostic Medicine

About PRECISION IOM PLLC

This page provides the complete NPI Profile along with additional information for Precision Iom Pllc, a provider established in Ft Worth, Texas operating as a Electrodiagnostic Medicine. The healthcare provider is registered in the NPI registry with number 1104383223 assigned on February 2019. The practitioner's primary taxonomy code is 204R00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Gina Sulllivan (Billing Manager)

NPI
1104383223 Verify this NPI
Provider Name
PRECISION IOM PLLC
Entity Type
Organization
Location Address
111 BOLAND ST STE 211 FT WORTH, TX 76107
Location Phone
(817) 529-8488
Location Fax
(903) 328-6568
Mailing Address
111 BOLAND ST STE 211 FT WORTH, TX 76107
Mailing Phone
(817) 529-8488
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2019
Last Update Date
02-25-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Electrodiagnostic Medicine

Taxonomy Code
204R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GINA SULLLIVAN

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(817) 529-8488

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104383223, enumerated as an "organization" on February 25, 2019.

The provider is located at 111 BOLAND ST STE 211 FT WORTH, TX 76107 and the phone number is (817) 529-8488.

Electrodiagnostic Medicine with taxonomy code 204R00000X.