| NPI | 1518003334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOHER L. GURRU Owner 432-570-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX L2914) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M3833) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX L2914) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX M3833) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX L2914) | |
| 363A00000X Physician Assistant (Licence: TX PA04008) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-10-17 |