| NPI | 1942556717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL VALLARTA Lvn 210-495-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX L0920) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2023-04-12 |