| NPI | 1982228128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE WOODS Billing Supervisor 817-912-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |