| NPI | 1457876864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF KROPHOLLER Manager 254-221-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-02-22 |