| NPI | 1730348798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAE FUGATE Electroneurodiagnostic Technician 281-462-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: CO 1365) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |