| NPI | 1528456738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEGAN R SHEPHERD Iom Technician 817-851-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |