| NPI | 1720344179 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROXANNA LAROQUE Director Of Client Experience 210-598-2801 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0600X | 
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | 
| Enumeration Date | 2012-04-10 | 
| Last Update Date | 2022-06-10 |