| NPI | 1821538364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH S GARCIA Manager 512-829-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX N7696) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2023-05-15 |