| NPI | 1750811089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA LAROQUE Director, Client Experience 210-598-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-05-09 |