| NPI | 1710330444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL A. JASSO Owner 956-631-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 36112) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36112) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |