| NPI | 1013378488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE DEVOS Contracting Manager 512-692-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX E5222) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |