| NPI | 1013498690 |
|---|---|
| Doing Business As | UT PHYSICIANS ACO CEO PEDI LOCKWOOD |
| Entity Type | Organization |
| Authorized Contact | ANDREW R CASAS Chief Operating Officer 832-325-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |