| NPI | 1073867651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PRICE GOULDY Owner 956-234-3825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N0058) |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2012-11-03 |