| NPI | 1225225568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN D'CRUZ Office Manager 806-281-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX L0113) |
| Additional Taxonomies | 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: TX L0113) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX L0113) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |