| NPI | 1730568817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LARERY Chief Executive Officer 832-794-7513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 34051) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 34051) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2026-02-04 |