| NPI | 1174486773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISAMARIE PARTRIDGE Deligated Official 972-412-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant | |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2026-01-06 |