NPI | 1265995401 |
---|---|
Doing Business As | EAGAN MEDICAL GROUP OF TEXAS |
Entity Type | Organization |
Authorized Contact | BREANNA SPLAIN Administrator 714-369-8037 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2019-04-12 |
Last Update Date | 2021-04-27 |