| NPI | 1215445069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL D PARTRIDGE Managing Member 214-210-9727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-03-04 |