| NPI | 1689142275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA SULLIVAN Billing Manager 214-269-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |