| NPI | 1114318797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLAN BRUCE JENEVEIN President 214-738-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX H2492) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |