| NPI | 1265465264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EARL OWENS Physician/Owner 662-287-7785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-10-02 |