| NPI | 1306672837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM KHAN Billing Manager 512-201-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-05-14 |