| NPI | 1992128425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA NELSON Practice Administrator 214-369-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M1508) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2016-10-31 |