NPI | 1962749259 |
---|---|
Entity Type | Organization |
Authorized Contact | ROXANNA LAROQUE Director Of Client Experience 210-598-4262 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2013-01-07 |
Last Update Date | 2022-08-19 |