| NPI | 1497010987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CONNER Owner 817-417-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX H7715) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-09-18 |