| NPI | 1801530704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY PARTRIDGE Managing Member 972-412-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-09-15 |