| NPI | 1134754658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJANI RUTH CAESAR President 469-951-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2023-11-14 |