| NPI | 1699190348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY THOMURE Psychiatrist 512-630-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX P4521) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX P4521) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-05-29 |