| NPI | 1578614004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R SEALS Owner 972-965-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX J3901) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J3901) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2021-05-13 |