| NPI | 1477220770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALYAN K SHASTRI Owner 972-408-7326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-01-24 |