| NPI | 1003365800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY G SCHWABE Account Manager 512-900-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |