| NPI | 1457856643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR I. GRACIA Owner 915-544-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M0095) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |