Healthcare Provider Details

I. General information

NPI: 1821333444
Provider Name (Legal Business Name): RMR MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2012
Last Update Date: 08/27/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6713 LAUREL VALLEY DR
FORT WORTH TX
76132-4473
US

IV. Provider business mailing address

PO BOX 34382
FORT WORTH TX
76162-4382
US

V. Phone/Fax

Practice location:
  • Phone: 817-424-0971
  • Fax: 888-413-9362
Mailing address:
  • Phone: 817-424-0971
  • Fax: 888-413-9362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFF KROPHOLLER
Title or Position: DIRECTOR
Credential:
Phone: 254-221-2900