| NPI | 1861835787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATIQUE A KHAN Owner 817-488-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX H7768) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-06-04 |