| NPI | 1154839470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CICHY Practice Business Manager 214-562-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2019-06-11 |