| NPI | 1801127535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL CAMP President 5123-234-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX K2317) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX K2317) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-09-10 |