| NPI | 1114108362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TA VAN NGUYEN Doctor 325-698-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX F2825) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |