| NPI | 1144328634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE HENDERSON Revenue Cycle Director 817-735-2008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-06-06 |