| NPI | 1548751126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ADRIAN LAZCANO Physician 424-247-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A148834) |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2024-03-23 |