Individual provider · Type 1 NPI

Kristina Port, CNIM

Electroneurodiagnostic Specialist/Technologist · Waller, TX

NPI number 1164826103 Active

Practice location

33518 Haley Rd # 1
Waller, TX 77484-5110

Call (888) 344-2947 Map

Fax (281) 622-4381

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1164826103

Kristina Port, CNIM's National Provider Identifier is 1164826103, issued on Oct 20, 2014. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Waller, TX. The record was last updated on Oct 20, 2014.