| NPI | 1710607841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY MOSELEY Director Of Revenue Cycle 832-858-0492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |