| NPI | 1689137028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUDASSAR TARIQ Owner 832-786-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2020-08-14 |