| NPI | 1760700330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLAN BRUCE JENEVEIN President 214-738-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX H2492) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-06-10 |