| NPI | 1710136072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAFFORD A CONWAY President 903-893-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX M7919) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |