Individual provider · Type 1 NPI
Jacob Dickson, BS IONM
Electroneurodiagnostic Specialist/Technologist · Fort Worth, TX
NPI number
1972104826
Active
Practice location
111 Boland St Ste 211
Fort Worth, TX 76107-1265
Fax (903) 328-6568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
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About NPI 1972104826
Jacob Dickson, BS IONM's National Provider Identifier is 1972104826, issued on Nov 6, 2020. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 6, 2020.