| NPI | 1821125204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DEVERE Neurologist 512-261-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX E3253) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |