| NPI | 1386499457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL ALEEM Credentialing Manager 832-353-1431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2025-02-25 |