| NPI | 1992035968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZETTE MORIN Mdms Npi Compliance Officer 210-598-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2017-09-06 |