Individual
IAN O'FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
33518 HALEY RD # 1, WALLER, TX 77484-5110
(888) 344-2947
(281) 622-4381
Mailing address
PO BOX 1577, WALLER, TX 77484-1577
(281) 622-4381
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2897
—
Other
Enumeration date
02/25/2015
Last updated
12/05/2016
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