| NPI | 1609110832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY NAIDOO President 469-939-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M0506) |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2021-08-10 |