| NPI | 1831601905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEVIN FLANAGAN Authorized Official/Provider 214-755-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine (Licence: TX K1194) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX K1194) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |