| NPI | 1407061138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY DAVID DUBOSE President 409-749-4695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |