| NPI | 1164719795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNINGS TYSON GODSY Owner 281-631-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N3676) |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2011-07-04 |