| NPI | 1528502879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KELLY SLAUGHTER Owner 972-893-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX K2123) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |