| NPI | 1003953050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIO CARRANCO Director 512-245-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: TX G4896) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-08-25 |