| NPI | 1740403120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY J MATHEW President 432-617-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX E6496) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-04-20 |