| NPI | 1861871402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH TITUS VANCE President/CEO 214-295-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2017-06-15 |