| NPI | 1619390622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE R BOWER Owner 830-331-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX J8926) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2018-08-23 |