| NPI | 1134491046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHA K. KAMBHAMPATI CEO 972-655-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX H9099) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2016-10-04 |