Organization
GRACE MONITORING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA GODDARD CNIM (NEUROPHYSIOLOGIST)
(214) 516-2617
Entity
Organization
Contact information
Practice address
1431 GREENWAY DR, SUITE 800, IRVING, TX 75038-2448
(214) 516-2617
Mailing address
1431 GREENWAY DR, SUITE 800, IRVING, TX 75038
(214) 516-2617
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2033
TX
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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