| NPI | 1225365026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA RAULSTON Business Office Director 254-559-2241 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2022-07-21 |