| NPI | 1831083484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMRA KEYS WINSTON Credentialing Specialist 281-790-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |