NPI | 1376678110 |
---|---|
Entity Type | Organization |
Authorized Contact | OCTAVIO E. GUTIERREZ Child, Adolescent, Adult Psychiatry 915-562-1202 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX E4375) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX E4375) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2008-08-14 |