NPI | 1508409707 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY WAGNER Office/Billing Manager 979-266-9497 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
Enumeration Date | 2019-10-21 |
Last Update Date | 2019-10-21 |