| NPI | 1609186261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN K CROUSE President 915-545-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX E-1298) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |