| NPI | 1407943657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JOE President 972-359-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX L8088) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-04-01 |