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

Premier Neuro Diagnostics LLC

Organization Electrodiagnostic Medicine Physician · NPI 1538039094

Premier Neuro Diagnostics LLC is an Electrodiagnostic Medicine Physician in Ft Worth, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3301 Hamilton Ave Ste 101
Ft Worth, TX 76107-1847
Phone: (817) 529-8488
Fax: (903) 328-6568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electrodiagnostic Medicine Physician (primary) Taxonomy 204R00000X

Record details

NPI number1538039094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Sullivan — Practice Administrator · (903) 259-0550
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address4455 Camp Bowie Blvd # 114-67, Ft Worth, TX 76107-3826

Other providers in Ft Worth