| NPI | 1972015022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIAMOND GALLOW Operation Assistant 281-612-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 530639) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2018-07-02 |