IndividualActive
Ian O'Fallon, CNIM
NPI 1891187076 · Electroneurodiagnostic Specialist/Technologist · Waller, TX
Provider details
- NPI number
- 1891187076
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM
- Sex
- Male
- Sole proprietor
- No
- License
- 2897
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
33518 Haley Rd # 1
Waller, TX 77484-5110
Phone: (888) 344-2947
Fax: (281) 622-4381
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1577
Waller, TX 77484-1577
Registry dates
- Enumerated
- 2015-02-25
- Last updated
- 2016-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.