| NPI | 1750953089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SUAREZ Managing Partner 332-239-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| 207P00000X Emergency Medicine | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2026-05-14 |