| NPI | 1083141691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA LAROQUE Client Experience Director 210-598-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X |
| Additional Taxonomies | 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2023-11-20 |