| NPI | 1710545447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA LAROQUE Director, Client Experience 210-598-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-07-28 |