| NPI | 1467107706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE K GAZDA Owner/Md 830-896-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2025-05-19 |