| NPI | 1922837491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN PATRICK Authorized Official 830-800-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |