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

Ranvier Iom PLLC

Organization Electrodiagnostic Medicine Physician · NPI 1093357691

Ranvier Iom PLLC is an Electrodiagnostic Medicine Physician in Ft Worth, Texas. Registered with an NPI since 2019.

In the registry since
2019
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

111 Boland St #211
Ft Worth, TX 76107-1265
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

Electrodiagnostic Medicine Physician (primary) Taxonomy 204R00000X

Record details

NPI number1093357691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Sullivan — Billing Manager · (817) 529-8488
NPI enumeratedOctober 15, 2019
Last updated in NPPESOctober 15, 2019
Mailing address43422 W Oaks Dr # 430, Novi, MI 48377-3300

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