| NPI | 1609099670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI ANNE ROY Owner 512-467-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX J5635) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-02-27 |