| NPI | 1427722370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEBIN BABU THOMAS Member 405-414-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2022-04-12 |