| NPI | 1013240076 |
|---|---|
| Doing Business As | PASSPORT HEALTH OF AUSTIN |
| Entity Type | Organization |
| Authorized Contact | SIDNEY T ROBIN Medical Director 512-459-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX E2824) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |