| NPI | 1669470092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA PRICE Billing Manager 903-893-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX H5637) |
| Enumeration Date | 2005-07-10 |
| Last Update Date | 2018-11-09 |