| NPI | 1629816376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE ALLEN Managing Member 832-257-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-08-02 |