| NPI | 1558313643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CHAN WONG GONZALES President 972-870-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-13 |