| NPI | 1841167905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MARCELA FREDES Owner/Provider 817-203-4179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |