| NPI | 1659731461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISH NAIR Owner 214-755-6874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q5232) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 45669) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |