| NPI | 1821283441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD A BRAZEAL Self/Owner 903-723-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX 50509) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: TX 50509) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2016-02-01 |