Organization · Type 2 NPI

Surgical Iom, LLC

Clinical Neurophysiology Physician · Decatur, TX

NPI number 1982228128 Active

Practice location

609 Medical Center Dr
Decatur, TX 76234-3836

Call (940) 627-5921 Map

Mailing address

2600 E Southlake Blvd Ste 120
Southlake, TX 76092-8045

Specialties and licenses

TaxonomyCodeLicense
Clinical Neurophysiology Physician Primary 2084N0600XNone listed
Electroneurodiagnostic Specialist/Technologist 246ZE0600XNone listed

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

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About NPI 1982228128

Surgical Iom, LLC's National Provider Identifier is 1982228128, issued on Jun 3, 2020. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Decatur, TX. The record was last updated on Jun 3, 2020.