NPI | 1356655609 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD O CASTILLO Owner 972-859-0378 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
Enumeration Date | 2010-07-28 |
Last Update Date | 2010-07-28 |