| NPI | 1912196312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BILLMAN Claims Manager 972-258-9570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX H9086) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-07-07 |