| NPI | 1023507845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EARL ORR Owner 469-212-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |