| NPI | 1386870996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET HAWKINS Office Manager 817-251-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 3-0853) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |