Eminent Electrophysiological Logistics LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

EMINENT ELECTROPHYSIOLOGICAL LOGISTICS LLC

Practice address

111 Boland St
211
Ft Worth, TX 76107-1263

Phone

(214) 315-6432

Fax

(903) 328-6568

NPI assigned

Jun 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Schulman

Title

Manager

Phone

(214) 315-6432

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1538518972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BOLAND ST",
            "address_2": "211",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761071263",
            "telephone_number": "214-315-6432",
            "fax_number": "903-328-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BOLAND ST",
            "address_2": "211",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761071263",
            "telephone_number": "214-315-6432",
            "fax_number": "903-328-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENT ELECTROPHYSIOLOGICAL LOGISTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "SCHULMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-315-6432"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Emerson-Ennis, OT
• Angela Emerson, M.S. LMFT-A
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• Robert Lewis Emery, M.D.
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• Darline Emmanuel, RN
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• Empower Me, Inc.

• Electrodiagnostic Medicine Physician in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Electrodiagnostic Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.