| NPI | 1740832120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UYENLY NGUYEN Owner 469-343-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2021-02-18 |