| NPI | 1902533839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA KHAN Director 325-229-9734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |