| NPI | 1003517806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLER FOLSE CEO 337-366-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2024-05-03 |