| NPI | 1972622025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA A RYAN Business Manager 713-529-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 22063) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-04-28 |