| NPI | 1467686089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASAD UL ISLAM Owner 469-444-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2016-10-24 |