| NPI | 1700112331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA BYFORD Claims Billing Specialist 972-979-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX J1950) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX J1950) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-18 |