| NPI | 1689868333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS ESCANDON Owner 314-996-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 106346) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-12-17 |