NPI | 1003005232 |
---|---|
Entity Type | Organization |
Authorized Contact | HAROLD DAVIS LEWIS Sole Practitioner Owner 512-444-2661 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX E6126) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX E6126) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2008-07-15 |