| NPI | 1609064096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN TRESE Physician 972-381-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX J9480) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |