| NPI | 1619175841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART J NATHAN Owner 713-914-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 23367) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 19656) |
| 101Y00000X Counselor (Licence: TX 14397) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 23421) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: TX 23421) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: TX 22630) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2008-08-06 |