Individual provider · Type 1 NPI

Jennifer D. Vivas

Electroneurodiagnostic Specialist/Technologist · Fort Worth, TX

NPI number 1982152260 Active

Practice location

500 Throckmorton Street Unit 3012
Fort Worth, TX 76102

Fax (817) 885-7339

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1982152260

Jennifer D. Vivas's National Provider Identifier is 1982152260, issued on Sep 15, 2016. 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 Sep 15, 2016.