| NPI | 1124326707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL MCCASLAND Member Manager 281-462-7684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |