| NPI | 1992244719 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HALIM FADIL Owner 817-697-8000  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q0629)  | 
| Enumeration Date | 2017-02-13 | 
| Last Update Date | 2019-06-25 |