| NPI | 1295020360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE AGUIRRE Mso 512-407-6856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX D9043) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |