| NPI | 1518115534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE V LOPEZ Insurance COO Rdinator 210-616-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 07393) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-08 |