| NPI | 1477870954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHA E BAILLEU Practice Administrator 214-239-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX J2296) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2019-07-12 |