NPI | 1194978478 |
---|---|
Entity Type | Organization |
Authorized Contact | LAVANYA L NAGINENI Sole Member 817-292-0088 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M9524) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
Enumeration Date | 2008-10-30 |
Last Update Date | 2022-12-13 |