| NPI | 1639291354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHER K TULLIDGE Owner 281-290-8730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX K1944) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-12-10 |