| NPI | 1679951479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN SULLIVAN Manager 214-212-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2016-01-18 |