| NPI | 1033883673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY J STANALAND Credentialing Agent 512-869-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |