| NPI | 1881725075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ELLEN NEWSOME Physician 214-556-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX L3412) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |