NPI | 1508007741 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNDON F. BARNWELL Owner 979-480-0990 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0600X (Licence: TX K7655) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX K7655) |
Enumeration Date | 2009-03-18 |
Last Update Date | 2017-02-16 |