| NPI | 1043763493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA COOKS Administrator 469-490-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 2472E0500X Technician, Other, EEG |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2023-05-03 |