| NPI | 1023493228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE SEBRING Medical Director/Owner 512-847-5618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX J7661) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |