| NPI | 1992110035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVEN VALERIE CAVAZOS Owner 903-331-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P5047) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |