| NPI | 1497538177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA BOLANO PROUD Physician 281-658-4829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-21 |