Organization Name: | DFW NEUROMONITORING SERVICE II, PA |
NPI Number: | 1093949307 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK HOOD (CEO) |
Mailing Address: | 1545 E Southlake Blvd Suite 100 Southlake |
State: | TX US |
Postal Code: | 760926422 |
Phone Number: | 8174429300 |
Fax Number: | 8177960763 |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 05/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |