| NPI | 1760912323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA LAROQUE Client Experience Manager 210-598-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-02-01 |