| NPI | 1740662667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD KIMMEL Manager 817-897-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-06-27 |