| NPI | 1053417881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ESTES Manager 972-998-1548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-11-02 |