| NPI | 1477887289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LAROQUE Director 210-854-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |