| NPI | 1639267750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MARIE VAIL Owner 903-595-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX L0672) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-11-20 |