| NPI | 1366945495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA VIIRAMONTES Practice Administrator 512-710-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |