| NPI | 1912525585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARTINEZ Billing Manager 281-346-3480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |