| NPI | 1679695852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRY MATHEW Owner 936-634-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX G1100) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-09-22 |