| NPI | 1205971553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WELCH Owner 682-518-1669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |