| NPI | 1104077031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN BURKET Manager 281-400-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX H2742) |
| Additional Taxonomies | 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: TX H2742) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2009-06-26 |