NPI | 1295117554 |
---|---|
Entity Type | Organization |
Authorized Contact | EFOSA AIRUEHIA Physician 469-777-4691 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
261Q00000X Clinic/Center (Licence: TX Q2227) | |
363A00000X Physician Assistant | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2015-06-23 |
Last Update Date | 2024-08-14 |