| NPI | 1023747698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN LEWIS MILLER Owner 832-766-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |