| NPI | 1952638538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R LETT Owner 765-319-3681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01027809A) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2010-01-21 |