| NPI | 1144555251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE MUKAMANA Md/Owner 956-717-4074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N3913) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX N3913) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2012-06-21 |