| NPI | 1104344688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON TAN Owner 972-877-9152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX L2023) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TX L2023) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX L2023) | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: TX L2023) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-07-21 |