| NPI | 1659155059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL BOYLE Director, Credentialing 512-765-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |