| 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 |