| NPI | 1972786978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT J SUIRFE Office Manager 512-952-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: LA 201514) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology Forensic Psychiatry |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2020-11-06 |