| NPI | 1679979223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W VAN BOVEN President/CEO 512-981-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P5901) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-20 |