| NPI | 1356919450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISAMARIE PATRIDGE Biller 972-412-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-09-27 |