| NPI | 1225639487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BANES Office Manager 469-609-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |