| NPI | 1972138352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M VERTREES Medical Director 512-655-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2022-03-27 |