| NPI | 1629584552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PIERCE Owner 817-343-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2020-03-10 |