| NPI | 1487702684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY ALAN DAVIS Owner Sole Proprietor 512-306-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G7798) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX G7798) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2021-05-06 |