| NPI | 1407597529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY SMITH Owner 214-629-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |