| NPI | 1467730861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER WOOTEN President 214-642-9717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX L9020) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX L9020) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |