| NPI | 1033725940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DASILVA Manager 903-814-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2025-09-01 |