| NPI | 1902105935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY C MARTIN Owner 940-723-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX F2789) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2012-10-09 |