| NPI | 1063774602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN K. BOOTON Owner 512-381-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX G4844) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX G4844) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2013-08-19 |