| NPI | 1396792420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI SMITH Revenue Cycle Administrator 936-633-5651 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX H8939) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-06-12 |