| NPI | 1356954853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH R KRUKOWSKI Owner 817-205-1321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2021-12-27 |