| NPI | 1629251012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOURAS JOHN President 361-574-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX M5069) |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2008-09-18 |