| NPI | 1376087197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG W BUNTING Owner 972-401-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine (Licence: TX AP129266) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |