| NPI | 1124563754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAYNE HARRIS President 512-407-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX Q0763) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q0763) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |