| NPI | 1942609458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY WAGNER Office/Billing Manager 979-266-9497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |