| NPI | 1518163062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J. MILLER President 512-502-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2 1851) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |