| NPI | 1093905382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE IAN LOBAR Owner 210-614-5242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M5820) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2009-01-06 |