| NPI | 1447771084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A INEAMA Psychiatry Physician Assistant 682-559-2160 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX 05609) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TX 05609) | |
| 363A00000X Physician Assistant (Licence: TX 05609) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |