| NPI | 1861939282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT WILLIAM FRAZEE Sole Member 512-635-9382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR MD179772) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-10-15 |