| NPI | 1174121586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY MCGAHEY Practice Manager 512-241-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2022-03-23 |