| NPI | 1356414692 |
|---|---|
| Doing Business As | RIO GRANDE STATE CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDA GARNETT Program Supervisor 512-913-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 208D00000X General Practice | |
| 364S00000X Clinical Nurse Specialist | |
| 363L00000X Nurse Practitioner | |
| 103TC0700X Psychologist, Clinical | |
| 183500000X Pharmacist | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2024-01-31 |