Individual
ELIZA GALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
4141 SOUTHWEST FWY STE 410, HOUSTON, TX 77027-7422
(713) 255-5097
(469) 453-3374
Mailing address
4141 SOUTHWEST FWY STE 410, HOUSTON, TX 77027-7422
(713) 255-5097
(469) 453-3374
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
3171
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3171
CNIM
TX
Enumeration date
07/20/2021
Last updated
07/20/2021
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