| NPI | 1831490705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA LOPEZ-LIRA Owner 361-980-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX K0115) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |