| NPI | 1740767607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORI GOLD Office Manager 512-203-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX AP1316491368) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2019-06-03 |