Provider Demographics
NPI:1568977783
Name:VELOCITY IOM, LLC
Entity Type:Organization
Organization Name:VELOCITY IOM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEURO PHYSIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCHALFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:214-499-8330
Mailing Address - Street 1:7555 DEERLODGE TRL
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-4138
Mailing Address - Country:US
Mailing Address - Phone:214-499-8330
Mailing Address - Fax:817-887-1905
Practice Address - Street 1:7555 DEERLODGE TRL
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-4138
Practice Address - Country:US
Practice Address - Phone:214-499-8330
Practice Address - Fax:817-887-1905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Single Specialty