| NPI | 1245596006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWATI ELLENDULA Psychiatrist 469-213-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) (Licence: TX N9542) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2016-04-15 |