| NPI | 1962185447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PARTRIDGE Practice Admin 972-412-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2024-07-09 |