| NPI | 1558287151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA J BAILEY Owner 817-475-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 208VP0000X | |
| Enumeration Date | 2026-06-26 |
| Last Update Date | 2026-07-17 |