| NPI | 1356462519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE MCMURTREY Account Manager 817-329-9812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 2084N0400X) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-08-11 |