| NPI | 1851940209 |
|---|---|
| Doing Business As | NEURODIAGNOSTICS SERVICES SOUTHWEST, LLC |
| Doing Business As | NEURODIAGNOSTICS SERVICES SOUTHWEST |
| Entity Type | Organization |
| Authorized Contact | TONYA LANNETTE JACK Operations Manager 405-286-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-03-31 |