NPI | 1003034208 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE GRAVES MOY President And Owner 512-689-8001 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G5110) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-10-18 |