| NPI | 1164203402 |
|---|---|
| Doing Business As | AMANDA SISUL |
| Entity Type | Organization |
| Authorized Contact | AMANDA SISUL Owner 512-952-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-11-16 |