| NPI | 1770953135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L GREEN Member 713-818-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |