| NPI | 1619314200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD H JOHN Owner 940-397-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX E4431) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-07-16 |