| NPI | 1699967893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY GUILLORY Office Manager 409-899-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX F5184) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |