| NPI | 1750769477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA THIELE Director Of Operations 210-598-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-07-15 |