| NPI | 1417649476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISAMARIE PARTRIDGE Admin 972-412-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |