Active NPI
Axim Medical Consulting
- Electroneurodiagnostic Specialist/Technologist
- Fort Worth, TX
National Provider Identifier
1013821727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- AXIM MEDICAL CONSULTING
- Practice address
- 4455 Camp Bowie Blvd # 114-67
Ft Worth, TX 76107-3826 - Phone
- (817) 529-8488
- Fax
- (903) 328-6568
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gina M Sullivan
- Title
- Practice Administrator
- Phone
- (903) 259-0550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | NU | Primary | |
| Electrodiagnostic Medicine Physician | 204R00000X | NU |
Addresses
Primary practice location
4455 Camp Bowie Blvd # 114-67
Ft Worth, TX 76107-3826
Mailing address
4455 Camp Bowie Blvd # 114-67
Ft Worth, TX 76107-3826
Phone (817) 529-8488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Office Based Coding Specialist
- Caddo Mills, TX
- NPI 1710506100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1013821727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 CAMP BOWIE BLVD # 114-67",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761073826",
"telephone_number": "817-529-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 CAMP BOWIE BLVD # 114-67",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761073826",
"telephone_number": "817-529-8488",
"fax_number": "903-328-6568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AXIM MEDICAL CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "903-259-0550"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "204R00000X",
"taxonomy_group": "",
"desc": "Electrodiagnostic Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.