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