| NPI | 1568623619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS M VICENTE President 214-707-3194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M3414) |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2008-06-21 |