| NPI | 1740323971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HAYES MARTIN Owner 210-641-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M5354) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX M5354) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |