| NPI | 1316212855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SALINA HICKS Clinical Coordinator 512-371-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX L5384) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2013-03-22 |