| NPI | 1548440845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY A PAYSON Owner 254-772-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G5467) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2012-12-07 |