| NPI | 1063658847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN TAYLOR Owner 512-797-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: KS 515999) |
| Additional Taxonomies | 282J00000X Religious Nonmedical Health Care Institution (Licence: KS 515999) |
| 302F00000X Exclusive Provider Organization (Licence: KS 515999) | |
| 302R00000X Health Maintenance Organization (Licence: KS 515999) | |
| Enumeration Date | 2008-12-27 |
| Last Update Date | 2008-12-27 |