| NPI | 1518443316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON RUSCIANO Manager 832-380-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P1137) |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2020-10-14 |