| NPI | 1477845683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWAZI ADZOTOR Director/Md 915-504-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N8602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N8602) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-08-29 |