| 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 |