| NPI | 1972977569 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FELICIA ALDERETE Paralegal 512-638-3352 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0600X | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology | 
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| 204R00000X Electrodiagnostic Medicine | |
| Enumeration Date | 2015-11-19 | 
| Last Update Date | 2020-07-15 |