| NPI | 1063164002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNALISE MONET CLAYBORNE Nurse Practitioner 512-698-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |