| NPI | 1164703047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLAOS KOMBOS Clinical Psychologist 903-262-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 23624) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2012-05-01 |