| NPI | 1386860898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVIRA V SIDHU President 662-892-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: TN MD000025744) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-02-15 |