| NPI | 1215493366 |
|---|---|
| Former Legal Business Name | WAVEFORM NEUROMONITORING, LLC |
| Entity Type | Organization |
| Authorized Contact | ANISA GOPALANI Physician Partner 832-236-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |