| NPI | 1710332598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MOORE Manager 214-295-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-06-08 |