| NPI | 1003085176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA R. MARTINEZ Office Manager 512-339-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J1568) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2015-02-13 |