| NPI | 1558597138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA KATE RICHARDS Pysco Therapist 972-291-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 08268) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |