| NPI | 1578740486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LASHAWN BOYD Account Manager 214-345-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX K3557) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-02-15 |