| NPI | 1033384581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BACON President/COO 512-632-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 663872) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 740539) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-11-26 |