| NPI | 1184665648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM E. DUNCAN Office Mgr 512-300-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-12-26 |