| NPI | 1508153420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M. TANKERSLEY Owner 214-528-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G0188) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |