| NPI | 1689718785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HADLEY GROSS Doctor 325-340-9899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX G5125) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G5125) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2012-09-13 |