| NPI | 1447713888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLAS WARD Member/ Registered Agent 385-245-3580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-01-23 |