| NPI | 1023321122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS STERLING PARKER Manager 512-374-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX F1884) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J2712) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX D9687) | |
| 208D00000X General Practice (Licence: TX B6359) | |
| 208D00000X General Practice (Licence: TX F1450) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2012-05-25 |