| NPI | 1033583646 | 
|---|---|
| Former Legal Business Name | BRACKENRIDGE/CHILDREN'S EMERGENCY PHYSICIANS, PA | 
| Entity Type | Organization | 
| Authorized Contact | SAM ROBERTS President 512-452-8533 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine | 
| Enumeration Date | 2015-11-19 | 
| Last Update Date | 2015-11-19 |