| NPI | 1043520612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COBB Sole Member 806-771-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX L6013) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |