| NPI | 1942908397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIGEL MAGALLANES Office Administrator 915-525-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-03-08 |