| NPI | 1871607192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARAKUMAR REDDY President 817-285-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX J0644) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-10-17 |