| NPI | 1851179022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BLAKELY Practice Manager 214-445-6959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| 204R00000X Electrodiagnostic Medicine | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2025-11-10 |