| NPI | 1790424521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA DELUNA Credentialing Manager 713-800-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |