| NPI | 1003369224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA KAY MARTIN Office Manager 972-415-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |