| NPI | 1053140848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GEORGE Credentialing Specialist 512-808-6454 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2025-06-26 |