| NPI | 1336522051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA THIELE Director Of Operations 210-598-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |