| NPI | 1548841349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANU MATHEWS Owner 817-381-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology Pain Medicine |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |