NPI | 1124667746 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE SHOUP COLLINS Practice Administrator 214-536-1647 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory |
Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
Enumeration Date | 2019-12-30 |
Last Update Date | 2019-12-30 |