| NPI | 1932623402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZETTE MORIN Mdms Administrator 210-598-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |