| NPI | 1417538505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSEN MUKALEL Admin 214-390-7697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-04-04 |