| NPI | 1336706100 | 
|---|---|
| Doing Business As | STONEBRIDGE PSYCHIATRY | 
| Entity Type | Organization | 
| Authorized Contact | KRISTIE BYRD Owner 214-802-0790 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2019-05-28 | 
| Last Update Date | 2019-05-28 |