| Organization Name: | ADVANCE INTRA-OPERATIVE MONITORING SPECIALISTS |
| NPI Number: | 1700930906 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MISTY MICHELLE GREEN (PARTNER) |
| Mailing Address: | 706 Park Pl Whitesboro |
| State: | TX US |
| Postal Code: | 762731100 |
| Phone Number: | 9034369364 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | 534 |
| 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: | |