| NPI | 1154651123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA FISHER Enrollment Compliance Officer 210-598-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2017-04-19 |