| NPI | 1053776856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED MANSOOR HUSSAINI Director 469-615-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX Q1832) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2020-01-07 |