| NPI | 1336694033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEN NGUYEN Manager 747-227-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2472E0500X Technician, Other, EEG |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX J1551) |
| 2084N0600X (Licence: TX J1551) | |
| 2084N0600X | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-07-21 |