| NPI | 1629523527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT ALYBY Manager 832-999-4829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 103T00000X Psychologist |
| 111N00000X Chiropractor | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2472E0500X Technician, Other, EEG | |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |