| NPI | 1982742276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN FAN Physician 972-769-8572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: TX K8897) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-02-14 |