| NPI | 1336288315 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARK PRETORIUS President 972-596-5144  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX F4392)  | 
| Enumeration Date | 2007-02-06 | 
| Last Update Date | 2015-11-05 |