| NPI | 1548083041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MERRITT Operations 469-273-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 174400000X Specialist |
| 204R00000X Electrodiagnostic Medicine | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology | |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| 2472E0500X Technician, Other EEG | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |