| NPI | 1235526195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY RAAB PISKLAK Managing Member 832-654-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX N2247) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |