| NPI | 1487186300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA LAROQUE Manager Client Experience 210-598-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 2084D0003X |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2022-01-10 |