| NPI | 1902322365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF KROPHOLLER Member 254-221-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-07-21 |