| NPI | 1518465079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAARNIE VINDUA Administrator 972-900-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2024-11-22 |