| Organization Name: | AXIS NEUROMONITORING |
| NPI Number: | 1093013310 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD LEE TRAWEEK (OWNER) |
| Mailing Address: | 33518 Haley Rd # 1 Waller |
| State: | TX US |
| Postal Code: | 774845110 |
| Phone Number: | 8883442947 |
| Fax Number: | 8886942947 |
| NPI Enumeration Date: | 03/10/2011 |
| NPI Last Update Date: | 04/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |