| NPI | 1205346954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WEATHERWAX Authorized Official 469-646-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2018-12-20 |