Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nirvana Ionm PLLC

Organization Electroneurodiagnostic Specialist/Technologist · NPI 1609711373

Nirvana Ionm PLLC is an Electroneurodiagnostic Specialist/Technologist in Ft Worth, Texas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4455 Camp Bowie Blvd # 114-67
Ft Worth, TX 76107-3826
Phone: (817) 529-8488
Fax: (903) 328-6568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1609711373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Sullivan — Practice Administrator · (903) 259-0550
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address4455 Camp Bowie Blvd # 114-67, Ft Worth, TX 76107-3826

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