| NPI | 1689831240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN DAVID SOLOMON Owner 817-481-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX H8845) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-10-07 |