| NPI | 1043565930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO B D'LORM Nurse Practitioner Gerontology 512-364-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 672526) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |