| NPI | 1659815892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA RILEY Admin 214-943-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 111N00000X Chiropractor | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |