| NPI | 1679768212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. ANDERSON Owner 214-460-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2019-09-10 |