| NPI | 1568773638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALAN WOODWARD Owner 972-325-2832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G8518) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX G8518) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |