| NPI | 1649856360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GREGORY HEYNE Owner/Medical Director 972-891-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |