| 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 |