| NPI | 1144340290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L COBURN Owner (Psychologist) 281-367-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 21505) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2017-05-02 |