SP 1 MEDICAL HOLDING LLC
NPI 1538711338
Electrodiagnostic Medicine in Fort Worth, TX

Active since July 11, 2019
111 BOLAND ST STE 211, FORT WORTH, TX 76107(817) 529-8488(903) 328-6568 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sp 1 Medical Holding Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SP 1 MEDICAL HOLDING LLC (NPI 1538711338) is a healthcare organization registered as an electrodiagnostic medicine in Fort Worth, Texas and active in the NPI registry since July 2019. The organization lists Gina Sullivan, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1538711338
Entity TypeOrganization
Primary Taxonomy204R00000X
Legal Business NameSP 1 MEDICAL HOLDING LLC
Location Address111 BOLAND ST STE 211Fort Worth, TX 76107-1265
Mailing Address111 Boland St Ste 211Fort Worth, TX 76107-1265 · (817) 529-8488 · Fax (903) 328-6568
Fax(903) 328-6568
Organization SubpartNo
Authorized OfficialGina SullivanBilling Manager · (817) 529-8488
Enumeration DateJuly 11, 2019
NPI 1538711338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyElectrodiagnostic MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204R00000X
Definition

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.

111 BOLAND ST STE 211, Fort Worth, TX 76107

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sp 1 Medical Holding LLC's NPI number?

The NPI number for Sp 1 Medical Holding LLC is 1538711338. It was assigned to this organization in the NPPES registry on July 11, 2019.

Where is Sp 1 Medical Holding LLC located?

Sp 1 Medical Holding LLC is located at 111 Boland St Ste 211, Fort Worth, TX 76107. The listed phone number is (817) 529-8488.

What is Sp 1 Medical Holding LLC's specialty?

The primary specialty registered for this NPI is Electrodiagnostic Medicine with taxonomy code 204R00000X.

When was this NPI record last updated?

The NPPES record for Sp 1 Medical Holding LLC was last updated on July 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.