| NPI | 1932547767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF KROPHOLLER Director 254-221-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2022-02-22 |