| NPI | 1518439140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA GILLIAM VP Of Billing And Coding 972-632-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2021-09-23 |