| NPI | 1184924219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY NICOLE JACKSON President & CEO 832-912-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: TX N0125) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |