Detoelarization LLC
NPI 1376195172ActiveOrganization· Electrodiagnostic Medicine· Fort Worth, TX
Electrodiagnostic Medicine in Fort Worth, Texas, registered in NPPES in July 2019. The authorized official on file is Gina Sullivan, Billing Manager.
Overview
| NPI | 1376195172 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 11, 2019 |
| Last updated in NPPES | Jul 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Electrodiagnostic Medicine Primary | 204R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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