| 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 |