| NPI | 1639687478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS FELIX MARTINEZ Owner/Authorized Official 901-821-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2021-02-08 |