| NPI | 1215440664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON FANSELAU CEO 972-489-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |