| NPI | 1790978195 |
|---|---|
| Former Legal Business Name | SOUTHWEST NEUROSCIENCE CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID LOUIS WEIR Owner/Manager 337-504-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 019639) |
| 174400000X Specialist | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2021-12-08 |