| NPI | 1700217650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK SAUNDERSON Member 832-374-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2022-08-01 |