| NPI | 1346434750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M.K. HAMZA Owner 409-729-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33373) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 33373) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-10-20 |