| NPI | 1568890028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK SAUNDERSON Member 832-374-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2022-08-01 |