| NPI | 1801286075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE J NEVILLE Administrator 512-917-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX G2405) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |