| NPI | 1225421829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZETTE MORIN Mdms Npi Compliance Officer 210-598-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2022-07-21 |