| NPI | 1720965619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB J HINTON President 817-422-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0600X |
| 2084E0001X Psychiatry & Neurology, Epilepsy | |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |