| NPI | 1063541589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ROGER ALBERTSON Physician 512-338-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX D7899) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |