| NPI | 1538834908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISAMARIE PARTRIDGE Member 972-412-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-09-29 |